Share your feedback about health and care services

Healthwatch Hammersmith and Fulham gives you the chance to say what you think about how local health and social care services are run. Your experiences are important and can help to inform commissioners and service providers. Please take five minutes to share your story with us.  

To understand how we will use your information please read the 'How we use this information' at the end of the page.

Questions marked with * mean an answer is required.

Complete the survey

1. Choose the area of care you would like to tell us about?
Tell us about any positive parts of your experience
Tell us about any parts of your experience which could be improved
4. How do you rate your overall experience of the service?

Tell us a bit about you

It would really help to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary.

5. Please tell us your gender
7. Please select your ethnicity
8. Please select any of the following that apply to you
9. What is your religion?
10. Please tell us which sexual orientation you identify with

How we use this information

The information you share with us helps us spot trends to identify areas for improvement. We may use quotes in our reports, but we will not use any information that will identify you.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion. 

If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous.

Find out more about how we handle your information in our privacy statement. 

Can we stay in touch? 

We'd love to tell your story and keep you updated about our work and the difference sharing your experiences with us can make. 

Using your story for media

To promote our campaigns we use people's stories to show what needs to change. The media (newspapers, radio or TV) ask if we have people who can share their story when we publish a press release about our research. 

Would you be happy for us to contact you about your experience for media purposes or to use your story as a case study in our material? We won’t pass on your name and contact details to the media without speaking to you first about what it involves.

Please Select
Please Select
If yes, enter your name and email address.