Sexual health service feedback form

Tell us about your experience

Use this form to tell us your experiences of sexual health services in Brighton & Hove. All your responses will be treated in confidence.

Please note you need to respond to all questions marked with an asterisk.

Your age *

Gender *

Name of service *

Please rate the level of service you received (1 being very good, 2 being good, 3 being neutral, 4 being poor, 5 being very poor) *

What did you like about the service?

What do you think needs to be improved?

Anything else you'd like to tell us?

Can we contact you for more information if we need to? If so, please leave us your name, email, and phone number below. This information will be kept confidential.

Contact details

If you're interested in taking part in service focus groups, please also tick this box

Thank you for taking the time to give us your views. Please clink on the 'submit' button below to send us you form.

Please feel free to contact us at swish@brighton-hove.gov.uk with your questions or comments.