Use this questionnaire to tell us about your experiences of health and social care over the past year (from January 2009).

You can tell us about something you thought was good or something you thought was bad.

You can tell us about a number of experiences or issues that happened at the same place and time with this questionnaire and you can use a separate questionnaire if you would like to tell us about an experience that happened at a different place or time.

If you would like any help with filling in the form or would prefer to email us information please contact Mike on 020 8255 8509 or at manager@richmondlink.org.uk