The St Helens Sexual Health Survey

Local Services

NHS Halton and St Helens is committed to providing the best health care provision to suit the needs of the population. Have your say and tell us how you would like to receive sexual health care in the community. You could win M&S or Next gift voucher worth up to £100. The survey is anonymous and the questionnaire cannot be traced back to you.

Gender:
Sexuality:
Age:
Your area of residence:
Where do you normally go (or where would you consider going if you needed to) to access services:

 GP

 TAZ Clinic

 Community Sexual Health (Family Planning) clinic

 GUM Clinic

 School Clinic
If you were attending a community sexual health clinic, would you prefer:
If you need to attend a community sexual health clinic, would you prefer the clinic to be (you make tick more than one box):

 In school/college

 Near school/college

 Near Home

 Town Centre

 Other

What days are most convenient for you to attend a community sexual health clinic? (you make tick more than one box):

 Weekdays before 9am

 Weekdays 9am-12noon

 Weekdays 12pm-2pm

 Weekdays 2pm-4pm

 Weekdays 4pm-7pm

 Weekdays after 7pm

 After school 3pm-5pm

 After school 3.30pm-5.30pm

 Saturdays before 9am

 Saturdays 9am-12noon

 Saturdays 12pm-2pm

 Saturdays 2pm-4pm

 Saturdays 4pm-7pm

 Saturdays after 7pm

 Sundays before 9am

 Sundays 9am-12noon

 Sundays 12pm-2pm

 Sundays 2pm-4pm

 Sundays 4pm-7pm

 Sundays after 7pm

Ethnicity:
If you would like to be entered into a prize draw for up to £100 Next or M&S vouchers, please enter your E-mail address:
I would like:
 
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