About this survey

Healthwatch Hounslow gives local people the chance to say what they think about how local health and social care services are run. Your experiences are important to us and help us to let local decision makers and service providers know what's working and what isn't.

This survey is for people who have used advocacy services in Hounslow. We want to know how helpful and accessible the services are, how well you understand the support available, and what works well or could be improved.

Please take 10 minutes to share your experiences with us.

To understand how your information will be used please read the 'How we use this information' section at the end of the survey.

If you have any questions about this survey, please email info@healthwatchhounslow.co.uk or call us on 020 3603 2438.

Section 1: General Care Advocacy

If you've used general care advocacy services, please complete this part of the survey. If not, please scroll to Section 2.

Did you understand why an advocate was assigned to you?

Yes

No

Not sure

N/A (Not Applicable)

How well did you understand the role of an advocate?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

N/A (Not applicable)

Did you understand what support you could expect from your advocate?

Yes

No

Not sure

N/A (Not applicable)

How useful was the general care advocacy support you received?

Extremely useful

Very useful

Somewhat useful

Not so useful

Not at all useful

N/A (Not applicable)

*Why did you give this rating?(Required.)

How did you find communication with your advocate?

5=Excellent

4=Good

3=Okay

2=Poor

1=Terrible

Did your advocate contact you in a timely manner?

Yes

No

N/A (Not applicable)

How did you find support in care assessments or other services related to your case?

5 = Excellent

4 = Good

3 = Okay

2 = Poor

1 = Terrible

N/A (Not applicable)

How do you rate your overall experience? (please tick your answer)

5 = Excellent

4 = Good

3 = Okay

2 = Poor

1 = Terrible

*What worked well about the general advocacy support you received?(Required.)

*What is not working well, and what could be improved?(Required.)

Section 2: NHS Complaints Advocacy

If you've used NHS Complaints advocacy services, please complete this part of the survey.

Did you understand why an advocate was assigned to you?

Yes

No

Not sure

N/A (Not Applicable)

How well did you understand the role of an advocate in the NHS complaints process?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

N/A (Not applicable)

Did you understand what support your advocate could give you with your complaint?

Yes

No

Not sure

N/A (Not applicable)

How useful was the NHS complaints advocacy support you received?

Extremely useful

Very useful

Somewhat useful

Not so useful

Not at all useful

N/A (Not applicable)

*Why did you give this rating?(Required.)

*How did you find communication with your advocate?(Required.)

5=Excellent

4=Good

3=Okay

2=Poor

1=Terrible

Did your advocate contact you in a timely manner?

Yes

No

N/A (Not applicable)

How did you find support in understanding and navigating the NHS complaints process?

5 = Excellent

4 = Good

3 = Okay

2 = Poor

1 = Terrible

N/A (Not applicable)

How do you rate your overall experience? (please tick your answer)

5 = Excellent

4 = Good

3 = Okay

2 = Poor

1 = Terrible

*What worked well about the NHS complaints advocacy support you received?(Required.)

*What is not working well, and what could be improved?(Required.)

Tell us a bit about you

It would really help to know a little more about you so to help us improve equality, diversity and inclusion.

*What gender do you identify yourself as?(Required.)

Male

Female

Trans

Non-binary

Other

Prefer not to say

*Your age(Required.)

18 to 24 years

25 to 34 years

35 to 44 years

45 to 54 years

55 to 64 years

65 to 74 years

75 to 84 years

85 years and over

Prefer not to say

*Tell us about your ethnicty(Required.)

White - English / Welsh / Scottish / Northern Irish / British

White - Irish

White - European

White - Other (please see below)

European

Arab

Asian / Asian British – Indian

Asian / Asian British – Pakistani

Asian / Asian British – Bangladeshi

Chinese

Any other Asian background (please see below)

Black / Black British – African

Black / Black British – Caribbean

Any other Black background (please see below)

Gypsy, Roma or Traveller

Latin American

Mixed - Asian and White

Mixed - Black African and White

Mixed - Black Caribbean and White

Any other Mixed / Multiple ethnic background (please see below)

Prefer not to say

Other - Not listed (please see below)

Other: If you answered 'Other' to any of the above, please write your answer here:

*Do you have a disability?(Required.)

Yes

No

Prefer not to say

*Do you have a long-term health condition?(Required.)

Yes

No

Prefer not to say

*Are you a carer (paid/unpaid)?(Required.)

Yes

No

Prefer not to say

Consent

Please provide your consent so that we can use and store the information you have provided.

*Confirmation of consent(Required.)

I consent to sharing the information provided with Healthwatch Hounslow and Public Voice, and undertand that it will be stored securely.

How we use your information

Any information used will be anonymised, and your name will not be used. The information you share with us may be accessed by Healthwatch England and Public Voice, and shared with local health and care service commissioners and providers. Your answers will help us to identify areas for improvement in local health and care and report on them.

Our full privacy statement can be found at:
https://www.healthwatchhounslow.co.uk/privacy-policy/