Contact This form is for general enquiries. If you would like to share your experience of a local health or social care service, please click here. You can also call our Helpdesk on 0303 303 0023 (local rate) The Helpdesk is open 9am-5pm Monday - Thursday and 10am-4.30pm on Fridays. For all media and press enquiries please contact our Communications Officer Laihan Burr Dixon tel: 07496 108048 email: laihan.BurrDixon@healthwatchsurrey.co.uk Citizens Advice Woking provide our helpdesk service. Staff and volunteers enter data into both the Healthwatch Feedback Centre database and the CAB database, Casebook. The latter is hosted by Citizens Advice and held on their servers in the EEA. The Citizen’s Advice Privacy Policy relating to their database can be found at wokingcab.org/website-disclaimer-copyright-and-privacy/privacy-policy/. For more information see our Privacy Notice (found at the bottom of this page). Name* Email* Contact NumberSubject*Please selectVolunteerEventsPartnershipsWeb enquiryRequest ContactMedia EnquiryOtherComment*Please tell us your genderPlease selectFemaleMaleTransgenderOtherPrefer not to sayPlease tell us your age rangePlease select0-1718-2425-4950-6465-7980-8990+What is your ethnic origin?Please selectArabAsian / Asian - BangladeshiAsian / Asian - IndianAsian / Asian - PakistaniAsian / Asian - NepaliAsian / Asian - any other asian backgroundAsian / Asian - not statedBlack - AfricanBlack - BritishBlack - CaribbeanBlack - any other backgroundBlack - not statedChinese or other ethnic background - ChineseChinese or other ethnic background - Other ethnic backgroundMixed background - White and AsianMixed background - White and Black CaribbeanMixed background - any other mixed backgroundMixed background - not statedWhite - BritishWhite - EuropeanWhite - Gypsy/TravellerWhite - any other white backgroundWhite - not statedNot statedPrefer not to sayDo you consider yourself to have a disability?YesNoPreferred method of contact Telephone Email Would you like to receive our monthly e-bulletin?*YesNoIf you would like to receive regular e-bulletins from Healthwatch Surrey, please choose "yes".How did you hear about Healthwatch Surrey?e.g. through a friend; a leaflet in my doctor's surgery, an article in the pressNameThis field is for validation purposes and should be left unchanged.
