Online Feedback Survey

 

1. Email Address
(Please leave blank if you wish to complete the form anonymously)

 

2. Name
(Please leave blank if you wish to complete the form anonymously)

 

3. If you would like to be kept up to date with information Carers may find useful, please signup to the Carers Voice Mailing List (please note, your name and email address are required in the fields above)

 

4. Which area of Norfolk & Waveney do you live in?

 

5. Are you looking after somebody?

A Carer is anyone, including children and adults who look after a family member, partner or friend who needs help because of their illness, frailty, disability, a mental health problem or an addiction and cannot cope without their support. The care they give is unpaid. (This includes whether you receive Carers Allowance or any other benefits) .

 

6. Please Enter Your Feedback Here 
Please be as specific as possible, for example detailing which hospital, care home, pharmacy etc you may be commenting on. *

 

Carers Voice Norfolk and Waveney will use the information you provide on this form to improve the health and wellbeing of all Carers in Norfolk and Waveney. Through partnership working we will ensure that the voice of Carers is heard and listened to, enabling support and services to be designed and delivered that reflect Carers’ needs and interests. Any personal information, including your email address, that is collected is stored securely in line with GDPR. We share annonymised information with organisations within the Norfolk & Waveney Integrated Care System, to improve services for Carers and the people they care for. By submitting your feedback you agree to these terms and conditions.