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Tell us about your experience of Crawley health services and any ideas you have to make improvements

I am confident in using health services in Crawley
I know where and when to access health services in Crawley
I have had good experiences of local health services in Crawley
Local health services are well located across Crawley
It is easy to travel to health services across Crawley
Local health services are meeting the needs of communities across Crawley

About You: Equalities Monitoring

We want to make sure that we seek the views of a wide range of people. We will only use the information on this form to help us understand who we are reaching, and where we need to do additional work to obtain the views of particular individuals, groups and communities. The answers you provide are anonymous and confidential. Information collected using this form is combined together so it is not possible to link any responses back to an individual.

If you are filling this survey in on behalf of someone else, please provide information about them and not yourself in the below questions.

8.  

What gender are you?

9.  

Do you identify as the sex you were assigned at birth?

For people who are transgender, the sex they were assigned at birth is not the same as their own sense of their gender.

10.  

What age are you? (if you’re filling this out on behalf of someone else, please include their age)

11.  

How would you describe your ethnic origin?

12.  

Which of the following best describes your sexual orientation?

13.  

What is your religion or belief?

14.  

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

15.  

Are you a carer? 

A carer provides unpaid support to family or friends who are ill, frail, disabled or have mental health or substance misuse problems.

Are you currently serving in the UK Armed Forces (this includes reservists or part-time service, eg: Territorial Army)?
Have you ever served in the UK Armed Forces?
Are you a member of a current or former serviceman or woman’s immediate family/household?