Residential and Nursing Care Survey

Page 1 of 4

Closes 21 Apr 2025

Introduction

1. How old are you?
(Required)
2. Which of the following best describes you?
(Required)
3. In thinking about what would be important to you, or a close friend or family members of yours, if they were to enter a care home, please rate how important the following factors are important to you

Range 1 to 10

1 being not important at all and 10 being incredibly important 

(Required)
4. Would you be happy to be contacted by Wolverhampton for a short conversation to provide additional detail on your answers above?
(Required)

Your information will only be used for the purposes of contacting you to provide additonal information to your responses in this survey

5. When thinking about what matters to you in a care home, is there anything else you would like to share with us?