Developing mental health services for adults and older people in Harrogate and Rural District and Wetherby and its surrounding areas

We are developing plans for community services that will support more people at home. We want to involve as many people as possible in this and we want to hear your views on our proposals. You can learn more about these proposals here.

Thank you taking the time to give us your feedback.

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* 1. What is the first part of your post code (e.g. HD8)?

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* 2. Which of the following statements are true? (You can choose more than one.)

I am a current or past user of mental health services.

I care or have cared for a user of mental health services.

I am the family member of a user of mental health services.

I work or volunteer in mental health services.

I am a health or care professional in another service.

I have had no direct experience with mental health services.

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* 3. Adult mental health services

Do you think these proposals will help you and/or your loved one stay well / recover at home?

Yes

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* 4. Adult mental health services

Is there anything we’ve missed that would help support you and/or your loved one at home?

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* 5. Mental health services for older people

Do you think these proposals will help you and/or your loved one stay well / recover at home?

Yes

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* 6. Mental health services for older people

Is there anything we’ve missed that would help you support you and/or your loved one at home?

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* 7. Do you have any other comments or suggestions about our proposals?

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* 8. Do you have any other comments or suggestions about accessing mental health services?

Equalities monitoring

The following questions will give us important information about our community and enable us to monitor how well we are meeting our equalities responsibilities.

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* 9. What is your age?

12 to 17

18 to 39

40 to 59

60 to 79

Over 80

Prefer not to say

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* 10. What sex are you?

Female

Male

Prefer not to say

Other (please specify)

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* 11. What is your ethnic group?

White - English/Welsh/Scottish/Northern Irish/British

White - Irish

White - Gypsy or Irish Traveller

Arab

Indian

Pakistani

Chinese

Caribbean

African

White and Black Caribbean

White and Black African

White and Asian

Any other ethnic group (please specify)

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* 12. Do you belong to any religion?

Buddhism

Christianity

Hinduism

Islam

Judaism

Sikhism

No religion

Prefer not to say

Other (please specify):

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* 13. Do you consider yourself to be disabled? (Please click all that apply)

Physical or mobility impairment (such as using a wheelchair to get around and / or difficulty using their arms)

Sensory impairment (such as being blind / having a serious visual impairment or being deaf / having a serious hearing impairment)

Mental health condition (such as depression or schizophrenia)

Learning disability (such as Down's Syndrome or dyslexia) or cognitive impairment (such as autism or head-injury)

Long term condition (such as cancer, HIV, diabetes, chronic heart disease, or epilepsy)

Prefer not to say

Other (please specify)

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* 14. Do you look after, or give any help or support to a family member, friend or neighbour because of a long term physical disability, mental ill-health or problems related to age?

Yes

Prefer not to say

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* 15. Are you pregnant?

Yes

Prefer not to say

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* 16. Have you given birth in the last 12 months?

Yes

Prefer not to say

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* 17. Please select the option that best represents your sexual orientation.

Bisexual

Gay

Heterosexual/straight

Lesbian

Prefer not to say

Other (please specify)

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* 18. Are you transgender?

Yes

Prefer not to say

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* 1. What is the first part of your post code (e.g. HD8)?

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* 2. Which of the following statements are true? (You can choose more than one.)

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* 3. Adult mental health servicesDo you think these proposals will help you and/or your loved one stay well / recover at home?

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* 4. Adult mental health servicesIs there anything we’ve missed that would help support you and/or your loved one at home?

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* 5. Mental health services for older people Do you think these proposals will help you and/or your loved one stay well / recover at home?

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* 6. Mental health services for older peopleIs there anything we’ve missed that would help you support you and/or your loved one at home?

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* 7. Do you have any other comments or suggestions about our proposals?

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* 8. Do you have any other comments or suggestions about accessing mental health services?

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* 9. What is your age?

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* 10. What sex are you?

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* 11. What is your ethnic group?

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* 12. Do you belong to any religion?

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* 13. Do you consider yourself to be disabled? (Please click all that apply)

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* 14. Do you look after, or give any help or support to a family member, friend or neighbour because of a long term physical disability, mental ill-health or problems related to age?

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* 15. Are you pregnant?

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* 16. Have you given birth in the last 12 months?

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* 17. Please select the option that best represents your sexual orientation.

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* 18. Are you transgender?

* 3. Adult mental health services

Do you think these proposals will help you and/or your loved one stay well / recover at home?

* 4. Adult mental health services

Is there anything we’ve missed that would help support you and/or your loved one at home?

* 5. Mental health services for older people

Do you think these proposals will help you and/or your loved one stay well / recover at home?

* 6. Mental health services for older people

Is there anything we’ve missed that would help you support you and/or your loved one at home?