My Experience of Decisions About My Care

1. Tick which of the following best describes you:

(Required) I am a service user I am a relative I am a carer Other (please specify)

2. What Health and Social Care service does your experience of shared decision making relate to?

3. How did your experience of decision making take place?

(Required) Face to face On the telephone In writing Via video call Other (please specify)

4. Which Trust does your experience relate to?

(Required) Belfast Health and Social Care Trust (BHSCT): Greater Belfast Area Northern Health and Social Care Trust (NHSCT): Coleraine, Ballymena, Antrim, Carrickfergus, Magherafelt, Cookstown South Eastern Health and Social Care Trust (SEHSCT): Dundonald, Newtownards, Bangor, Ards Peninsula, Lisburn, Ballynahinch, Downe, Newcastle Southern Health and Social Care Trust (SHSCT): Dungannon, Armagh, Newry, Craigavon, Banbridge Western Health and Social Care Trust (WHSCT): Enniskillen, Omagh, Strabane, Londonderry, Limavady Northern Ireland Ambulance Service (NIAS) I am not sure Other (please specify)

Step 1: Context