Young Healthwatch Feedback Survey | Healthwatch Kingston upon Hull

Young Healthwatch Survey

Tell us your views about any health and social care services you have accessed in the last 12 months. This form is to gather the experiences of young people using healthcare services. On completing this form you may opt into a prize draw by providing your details.

Name (for the prize draw).

First Last

Name of your school/ college/ sixth form (for the prize draw).

Tutor Form Group (for the prize draw).

Section Break

Name of the service.

Name of Service Location of Service

How was your experience?

Please share as much as you are comfortable with. What happened during your experience?

How did this make you feel?

Would you recommend this service to someone else?

If there is anything else you would like to share about your experience, please write it here.

How do you feel is the best way for Healthwatch to gather young people's health experiences in the future?

Paper Survey

Online Survey

Focus Groups (in person)

Focus Groups (online)

Something else (please share your ideas below)

Ideas for how Healthwatch could contact young people.