Consultation Questionnaire

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Health, Social Care and Well-Being Strategy 2005-2008

Consultation Questionnaire

Click on 'Submit Form' at the bottom of the page when complete.

Thank you / Diolch.

1. Did you understand this document?

Yes

If No, what would make it easer for you?

2. Do you think we are concentrating on the right things?

Yes

If No, what do you think is important?

3. Please tell us which of our priorities is most important to you by numbering them from 1 to 5 where 1 is the most important and 5 the least important:

	Tackling the causes of ill health and improving access to services

	Promoting and enforcing good standards of health, safety and welfare

	Support children in need, looked after children and young people leaving care

	Improving the quality of housing, within safe communities

	Improving the availability of services for adults and their carers

4. Which of the choices below would encourage you to do more to look after your own health and well-being?

	More information about sporting and leisure activities

	Discounts to use leisure centres, country parks etc...

	Information about health care, diet etc...

	More Well Woman / Well Man clinics

	Drop in centres for health checks

	Better public transport to clinics, leisure centres, country parks

	Any other, please specify

5. How do you think we should measure if things are improving? e.g. increased use of leisure centres, falling waiting lists for treatment etc...

6. If you would like to be involved in how we develop this plan in future please write your name, address and phone number and any special area of interest here and we will contact you:

Name:

Address:

Daytime Telephone Number:

Special Interest:

7. Any other comments:

Thank you for taking time to complete the questionnaire. Your views are very helpful in shaping our future services to you.

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