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Staying Well - Your Health and Wellbeing

Covid-19 has changed the way that we live and work. We would like to ask local people about how they might want to stay well in the future. The council is reviewing its health and wellbeing service and we need to understand how you might want to use your local places and spaces in the future.

Your Health and Wellbeing
Covid-19 has had an impact on the health and wellbeing of many of us. We want to understand how you are feeling at the moment.

Please ensure you select one response and complete additional text if required.

Q1. In general, would you say your health is...?

Please select one option only.
 
Very good 
Good 
Fair 
Poor 
Very poor 

Please choose a response to each question.

Q2. Below are some statements about feelings and thoughts. For each one, please select what best describes your experience over the last 2 weeks...

Please select one option only in each row.
  None of the time  Rarely  Some of the time  Often  All of the time 
I've been feeling optimistic about the future
I've been feeling useful
I've been feeling relaxed
I've been dealing with problems well
I've been thinking clearly
I've been feeling close to other people
I've been able to make my own mind up about things

Please ensure you select one response and complete additional text if required.

Q3. Thinking about contact with other people, how often do you talk to someone?

Please select one option only.
 
I talk to someone every day 
I talk to someone most days 
I rarely talk to anyone 

Please ensure you select one response and complete additional text if required.

Q4. Thinking about activities that connected you with other people before Covid-19, are you still able to do those activities?

Please select one option only.
 
Unable to do my usual activities, I now feel isolated and alone 
Unable to do my usual activities, but finding ways to keep connected 
I have been able to do my usual activities 

Please ensure you select one response and complete additional text if required.

Q5. Do you think your health and wellbeing has changed during the Covid-19 pandemic?

Please select one option only.
 
Got worse 
Stayed the same 
Got better 

Please ensure you select at least one response and complete additional text if required.

Q6. To improve your health and wellbeing, would you use services to address any of the following issues if they were available in your local area?

Please tick all that apply.
 
Maintaining a healthy weight 
Exercise to stay active 
Stopping smoking 
Cutting down on drinking 
Mental health and positive living 
Learning and literacy 
Employment skills 
Bereavement 
Dementia 
Financial difficulties/debt 
Other issues