NHS Health Checks Client Survey 3 - Page 1 of 4 - East Sussex

NHS Health Checks - Client Survey

1. Where did you receive your NHS Health Check?

GP surgery Local pharmacy Community venue (e.g. library, shopping centre etc.) Workplace Other (please state in box below)

2. If you had your Health Check at a GP surgery in the Eastbourne, Hailsham or Seaford areas, which of these was it?

3. If you had your Health Check at a GP surgery in the Bexhill, Hastings, St Leonards or Rother areas, which of these was it?

4. If you had your Health Check at a GP surgery in the Crowborough, Havens, Lewes or Uckfield areas, which of these was it?

5. What motivated you to have an NHS Health Check? (Please check all that apply)

	Yes	No
Concerned about future health	Concerned about future health Yes Yes	Concerned about future health No No
Concern or wanted reassurance of current health	Concern or wanted reassurance of current health Yes Yes	Concern or wanted reassurance of current health No No
My age	My age Yes Yes	My age No No
Family history/illness	Family history/illness Yes Yes	Family history/illness No No
NHS Health Check Invitation	NHS Health Check Invitation Yes Yes	NHS Health Check Invitation No No
Other; please state below	Other; please state below Yes Yes	Other; please state below No No

6. How satisfied are you with the service you received in your Health Check? (Please rate by checking one box for each)

	Very satisfied	Fairly satisfied	Neither satisfied nor dissatisfied	Dissatisfied	Very dissatisfied
Friendliness	Friendliness Very satisfied Very satisfied	Friendliness Fairly satisfied Fairly satisfied	Friendliness Neither satisfied nor dissatisfied Neither satisfied nor dissatisfied	Friendliness Dissatisfied Dissatisfied	Friendliness Very dissatisfied Very dissatisfied
Accessibility	Accessibility Very satisfied Very satisfied	Accessibility Fairly satisfied Fairly satisfied	Accessibility Neither satisfied nor dissatisfied Neither satisfied nor dissatisfied	Accessibility Dissatisfied Dissatisfied	Accessibility Very dissatisfied Very dissatisfied
Opening times	Opening times Very satisfied Very satisfied	Opening times Fairly satisfied Fairly satisfied	Opening times Neither satisfied nor dissatisfied Neither satisfied nor dissatisfied	Opening times Dissatisfied Dissatisfied	Opening times Very dissatisfied Very dissatisfied
Location	Location Very satisfied Very satisfied	Location Fairly satisfied Fairly satisfied	Location Neither satisfied nor dissatisfied Neither satisfied nor dissatisfied	Location Dissatisfied Dissatisfied	Location Very dissatisfied Very dissatisfied
Advice given	Advice given Very satisfied Very satisfied	Advice given Fairly satisfied Fairly satisfied	Advice given Neither satisfied nor dissatisfied Neither satisfied nor dissatisfied	Advice given Dissatisfied Dissatisfied	Advice given Very dissatisfied Very dissatisfied
Overall	Overall Very satisfied Very satisfied	Overall Fairly satisfied Fairly satisfied	Overall Neither satisfied nor dissatisfied Neither satisfied nor dissatisfied	Overall Dissatisfied Dissatisfied	Overall Very dissatisfied Very dissatisfied

7. What was your cardiovascular disease (CVD) risk score from the NHS Health Check?

Low risk (0-9%) Medium Risk (10-19%) High Risk (20%+) Don’t know/can’t remember

8. Were you told clearly what your test results meant?

Yes Partly No Don’t know/can’t remember

9. Were you referred to any of the following services to help you make changes to your lifestyle? (Please check all those that were offered to you)

	Yes	No
One You East Sussex	One You East Sussex Yes Yes	One You East Sussex No No
One You East Sussex - Weight Management Service	One You East Sussex - Weight Management Service Yes Yes	One You East Sussex - Weight Management Service No No
Health walks	Health walks Yes Yes	Health walks No No
Local physical activity opportunity	Local physical activity opportunity Yes Yes	Local physical activity opportunity No No
One You East Sussex - Stop Smoking Service	One You East Sussex - Stop Smoking Service Yes Yes	One You East Sussex - Stop Smoking Service No No
Healthier You - Diabetes Prevention Programme	Healthier You - Diabetes Prevention Programme Yes Yes	Healthier You - Diabetes Prevention Programme No No
STAR alcohol service	STAR alcohol service Yes Yes	STAR alcohol service No No
Other (please name)	Other (please name) Yes Yes	Other (please name) No No

10. Did your Health Check motivate you to make any changes to your lifestyle? (Please check all that apply)

	Yes	No	Not applicable
Be more active	Be more active Yes Yes	Be more active No No	Be more active Not applicable Not applicable
Stop smoking	Stop smoking Yes Yes	Stop smoking No No	Stop smoking Not applicable Not applicable
Eat more healthily	Eat more healthily Yes Yes	Eat more healthily No No	Eat more healthily Not applicable Not applicable
Drink less alcohol	Drink less alcohol Yes Yes	Drink less alcohol No No	Drink less alcohol Not applicable Not applicable
Lose weight	Lose weight Yes Yes	Lose weight No No	Lose weight Not applicable Not applicable

If yes, please could you briefly share the changes you have made:

11. Would you recommend this service to your family and friends?

Yes No Not sure

12. Do you have any general comments about your Health Check, or suggestions for improving the Health Check service?