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The Health Survey

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Fill in the Health Survey
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Improve St Marks Hospital




Designed by Simon Werner, 26 Lyneham Gardens, Maidenhead, SL6 6SJ.
Printed and hosted by
Dataflame Dataflame Internet Services Ltd, PO Box 5425, VERWOOD, Dorset, BH31 6WZ .

Published and promoted by and on behalf of Maidenhead Liberal Democrats, 1 Tavistock Close, Maidenhead, SL6 5JN

This survey is your chance to make your voice heard and help me and my Liberal Democrat colleagues speak up for you.

It will only take a few minutes of your time, but your views really will help us campaign to improve this area.

YOUR DETAILS

Your Name:
Your E-Mail Address: * This field must be entered
Your Postcode:

LOCAL SERVICES

1. Do you agree that parking at St Marks Hospital should be free?

Yes No

2. Local Lib Dems have long campaigned for more services to be provided locally at St Marks and at local GP surgeries

Do you support

More local appointments with consultants

A minor injuries unit

Minor surgery offered locally

Other:

LOCAL GP SERVICES

3. Generally how often have you consulted an NHS GP at his/her surgury in the past two years?

Once

2-5 times

More

4. Could you book an appointment to suit your diary?

Yes No

5. How many days have you had to wait for an appointment?

1 day

2 days

3-5 days

Longer

6. How reasonable do you feel this waiting time has been?

Very reasonable

Fairly reasonable

Not very reasonable

Totally unreasonable

7. Generally how satisfied have you been with the consultation?

Very satisfied

Fairly satisfied

Not very satisfied

Not at all satisfied

8. How do you rate the out of hours care (evenings and weekends) provided by your doctor?

Good Average Poor

9. Do you think local health services have got better or worse in recent years?

Much better

A bit better

About the same

Slightly worse

Much worse

10. Which of the following statements do you think applies best to today’s National Health Service? (tick all that apply)

Spends mone well

Gets me the treatment I need quickly

Is badly managed

Wastes too much money

Is slow to deliver treatment

11. Who do you think should decide about major changes to our local health services?

Local health boards elected by residents

Health boards appointed by Government

Local health professionals

Local council

Health Minister in Whitehall

Other

OUR LOCAL HOSPITALS

12. Have you attended during the last three years?

Yes No

13. Which hospital did you attend (please write name of hospital below)?

14. How long did it take for your problem to to be seen?

Less than 1 hour

1-2 hours

2-4 hours

Longer than 4 hours

HOSPITAL OUT-PATIENTS

15. If you have been referred by your GP to a hospital, how long did you wait before being seen for the first time by the hospital doctor?

1 day

2 days

3-5 days

Longer

16. How reasonable do you feel this waiting time was?

Very reasonable

Fairly reasonable

Not very reasonable

Totally unreasonable

17. How do you rate the condition of Hospital and buildings?

Excellent

Good

Average

Poor

Very poor

HOSPITAL IN-PATIENTS

18. Have you been admitted to hospital as an NHS in-patient during the last two years?

Yes No

19. Which hospital were you admitted to? (please write name of hospital below)

20. If you needed to see a consultant, how soon after your admission did you see a consultant?

1 day

2 days

3-5 days

Longer

21. How satisfied have you been with the hospital food?

Very satisfied

Fairly satisfied

Not very satisfied

Not at all satisfied

22. How clean did you consider the hospital to be?

Very clean

Fairly clean

Not very clean

Not at all clean

23. Were you aware of any problems with MRSA or other hospital related infections during your stay?

Yes No

NHS DENTISTRY

24. Are you registered as an NHS patient with a dentist?

Yes No

25. Have you or anyone in your family experienced any problems in trying to get NHS dental treatment ?

Yes No

GENERAL HEALTH ISSUES

26. Do you think that mixed sex wards are acceptable?

Yes No

27. The Labour Government has given NHS nurses a pay rise of less than 2% this year. Do you think this is fair?

Yes No

28. The Liberal Democrats are campaigning for more screening so that serious illnesses like cancer and heart disease are diagnosed earlier. Do you support these plans?

Yes No

29. Generally, how satisfied are you with the way in which the Government is handling the NHS?

Very satisfied

Fairly satisfied

Not very satisfied

Not at all satisfied

ABOUT YOU and your family

30. What year were you born?

31. Do you have any children in education? (please tick all that apply to your children)

Nursery or pre-school

Primary school

Secondary school

University

32. When deciding how you are voting in the General election - which issue do you consider the most important.

Pensions

Health

Education

Crime

Europe

Environment

Other:

33. Who do you think you will vote for in the next General election?

Lib Dems

Conservative

UKIP

Labour

Lib Dems or Conservatives

Lib Dems or Labour

Labour

Other:

Help our Campaign

You can help Tony Hill's campaign by helping deliver our leaflets.

34. Can you help this campaign by delivering a few leaflets in your area?

Yes No


Privacy Note: We will not disclose your e-mail address to any third party, nor will we send you e-mail updates if you don't request them by leaving a tick in this box.

You can help Tony Hill's campaign to tackle crime and fear of crime by making a donation today to help fund this survey by clicking here.