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)

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

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)

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

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?