Fertility Network UK Patient Survey

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* 1. Age

Under 28

28-31

32-35

36-39

40-43

44+

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* 2. Gender

Male

Female

Non-Gender specific

Transgender

Prefer not to answer

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* 3. Relationship Status

Heterosexual

Same sex

Single

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* 4. In which part of the UK do you live?

England

Scotland

Wales

Northern Ireland

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* 5. Do you currently

Volunteer for Fertility Network

Fundraise for Fertility Network

N/A

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* 6. How did you first hear about Fertility Network UK? - Please tick all that apply.

Local Support Group

Website Search

Poster, leaflet or flyer

Magazine/Newspaper article

Fertility clinic

General Practitioner

Social media

Family friend

Google

Other (please state)

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* 7. What services provided by Fertility Network UK have you used? Please tick all that apply

Local support groups

Fertility options day

Electronic newsletter

Information line

HealthUnlocked Forum FNUK

Website information

FNUK webinar

Campaigning support

Volunteering support

More To Life support services for involuntary childless

More To Life HealthUnlocked Forum

Webinar

Support line

Workshops

Instalive

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* 8. What services provided by Fertility Network UK have you used? Please tick all that apply

Local support groups

Fertility options day

Electronic newsletter

Information line

HealthUnlocked Forum FNUK

Website information

FNUK webinar

Campaigning support

Volunteering support

More To Life support services for involuntary childless

More To Life HealthUnlocked Forum

Webinar

Support line

Workshops

Instalive

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* 9. If applicable, would you kindly give us a rating based on your experience?

	Not used	Unsatisfactory	Fair	Good	Very good	Excellent
Local support groups	Local support groups Not used	Local support groups Unsatisfactory	Local support groups Fair	Local support groups Good	Local support groups Very good	Local support groups Excellent
Fertility Options day	Fertility Options day Not used	Fertility Options day Unsatisfactory	Fertility Options day Fair	Fertility Options day Good	Fertility Options day Very good	Fertility Options day Excellent
Electronic Newsletter	Electronic Newsletter Not used	Electronic Newsletter Unsatisfactory	Electronic Newsletter Fair	Electronic Newsletter Good	Electronic Newsletter Very good	Electronic Newsletter Excellent
Information Line	Information Line Not used	Information Line Unsatisfactory	Information Line Fair	Information Line Good	Information Line Very good	Information Line Excellent
Health Unlocked Forum FNUK	Health Unlocked Forum FNUK Not used	Health Unlocked Forum FNUK Unsatisfactory	Health Unlocked Forum FNUK Fair	Health Unlocked Forum FNUK Good	Health Unlocked Forum FNUK Very good	Health Unlocked Forum FNUK Excellent
Website information	Website information Not used	Website information Unsatisfactory	Website information Fair	Website information Good	Website information Very good	Website information Excellent
FNUK Webinar’s	FNUK Webinar’s Not used	FNUK Webinar’s Unsatisfactory	FNUK Webinar’s Fair	FNUK Webinar’s Good	FNUK Webinar’s Very good	FNUK Webinar’s Excellent
Campaigning support	Campaigning support Not used	Campaigning support Unsatisfactory	Campaigning support Fair	Campaigning support Good	Campaigning support Very good	Campaigning support Excellent
Volunteering Support	Volunteering Support Not used	Volunteering Support Unsatisfactory	Volunteering Support Fair	Volunteering Support Good	Volunteering Support Very good	Volunteering Support Excellent
More to Life support services for involuntary childless	More to Life support services for involuntary childless Not used	More to Life support services for involuntary childless Unsatisfactory	More to Life support services for involuntary childless Fair	More to Life support services for involuntary childless Good	More to Life support services for involuntary childless Very good	More to Life support services for involuntary childless Excellent
More to Life Heath unlocked Forum	More to Life Heath unlocked Forum Not used	More to Life Heath unlocked Forum Unsatisfactory	More to Life Heath unlocked Forum Fair	More to Life Heath unlocked Forum Good	More to Life Heath unlocked Forum Very good	More to Life Heath unlocked Forum Excellent
More to Life Webinar	More to Life Webinar Not used	More to Life Webinar Unsatisfactory	More to Life Webinar Fair	More to Life Webinar Good	More to Life Webinar Very good	More to Life Webinar Excellent
Supportline	Supportline Not used	Supportline Unsatisfactory	Supportline Fair	Supportline Good	Supportline Very good	Supportline Excellent
Workshops	Workshops Not used	Workshops Unsatisfactory	Workshops Fair	Workshops Good	Workshops Very good	Workshops Excellent

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* 10. Do you have, or have you had contact with members of the Fertility Network UK staff?

Yes

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* 11. If yes, would you kindly give us a rating based on this contact with Fertility Network UK staff?

Excellent

Very good

Good

Fair

Unsatisfactory

Not Used

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* 12. Are there any services which Fertility Network UK doesn't currently provide which you feel would be helpful?

Yes

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* 13. If yes, what services would you like Fertility Network UK to provide?

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* 14. Any other comments:

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If you would like to make a donation today, please use this link http://fertilitynetworkuk.org/donate/. We receive no guaranteed funding, and no matter how much you can donate, it will make a difference to us.

Fertility Network UK Patient Survey

Question Title

* 1. Age

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* 2. Gender

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* 3. Relationship Status﻿

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* 4. In which part of the UK do you live?

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* 5. Do you currently

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* 6. How did you first hear about Fertility Network UK? - Please tick all that apply.

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* 7. What services provided by Fertility Network UK have you used? Please tick all that apply

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* 8. What services provided by Fertility Network UK have you used? Please tick all that apply

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* 9. If applicable, would you kindly give us a rating based on your experience?

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* 10. Do you have, or have you had contact with members of the Fertility Network UK staff?

Question Title

* 11. If yes, would you kindly give us a rating based on this contact with Fertility Network UK staff?

Question Title

* 12. Are there any services which Fertility Network UK doesn't currently provide which you feel would be helpful?

Question Title

* 13. If yes, what services would you like Fertility Network UK to provide?

Question Title

* 14. Any other comments:

Question Title

If you would like to make a donation today, please use this link http://fertilitynetworkuk.org/donate/. We receive no guaranteed funding, and no matter how much you can donate, it will make a difference to us.

* 3. Relationship Status