Skip to content
Second Chance Ostomy Yorkshire - Community Consultation
1.
Do you know what a stoma is?
Yes
No
2.
Are you someone living with a stoma, if so what type?
Ileostomy
Colostomy
Urostomy
3.
What age range are you?
0-11
12-18
19-35
36-50
51-65
66-75
76 and over
4.
We have Identified 4 key groups please tick which one you are in?
People living with a stoma
People who are a carer/relative/friend/care professional of someone living with a stoma
People aware of what they are but don’t know anyone with one.
People who are unaware.
5.
People living with a stoma - What emotional impact that it has had on you?
Devastating impact
Very emotional impact
Some emotional impact
No emotional impact
6.
People living with a stoma - What services you have accessed?
7.
People living with a stoma - What are you looking for from a service?
8.
People living with a stoma - How easy you find it to access relevant information?
Very easy
Easy
Not easy
Extremely difficult
9.
People living with a stoma - How conscious are you of other people’s awareness of your stoma?
Very conscious
Conscious
Conscious at times
Not conscious at all
10.
People living with a stoma - How aware you are of what services are available to you?
Very aware
Aware of some
Aware of very little
Aware of nothing
11.
People living with a stoma - How aware of stomas were you before you had yours?
Very aware
Aware
Aware of very little
Aware of nothing
12.
Career/Relative/Care professional - What kind of stoma does the person you support have?
Ileostomy
Colostomy
Urostomy
13.
Career/Relative/Care professional - What kind of support do you require?
14.
Career/Relative/Care professional - How easy was it to access information you needed?
Very Easy
Easy
Not easy
Extremely difficult
15.
Career/Relative/Care professional - what has been the emotional impact on you?
Devastating impact
Some impact
A little impact
No impact
16.
Career/Relative/Care professional - What services have you accessed?
17.
Career/Relative/Care professional- How aware you are of what services are available to you?
Very aware
Aware of some
Aware of very little
Not aware
18.
Career/Relative/Care professional - How aware of stomas were you beforehand?
Very aware
Aware of some
Aware of very little
Not aware
19.
Aware but don’t know anyone with one - How did you find out about stomas?
Social Media
Article
Through work
Through social activities
20.
Aware but don’t know anyone with one - How does the thought of stomas make you feel?
Very comfortable
Comfortable
Struggle
Don't want to know at all
21.
Aware but don’t know anyone with one - How do you think someone living with a stoma feels? (tick all that apply)
Fine
Embarrassed
Happy
Ashamed
Unattractive
Confident
Not confident
Other (please specify)
22.
Unaware - Would you be interested in finding out more about stomas?
Yes
No
23.
Everyone - Would you like to know more about Second Chance Ostomy Yorkshire? If yes please supply your name, email address / telephone number
Current Progress,
0 of 23 answered