Help us improve Bowel Cancer Screening
Bowel cancer screening looks for early signs of bowel cancer in otherwise healthy people who do not have any symptoms. It’s a test you do at home which is offered to everyone aged 50 to 74. The aim of screening is to detect bowel cancer at an early stage, which may mean it is easier to treat.

All responses are confidential, your feedback is greatly valued and could help improve the screening process. Please provide as much detail as possible.
Sign in to Google to save your progress. Learn more
1. Have you completed a bowel screening test?
Clear selection
2. If yes, how easy did you find the test to do?
Clear selection
3. Is there anything we could do to make the test easier to do?
4. If no, what were your reasons for not doing the test?
5. Was the information in your letter clear and easy to understand?
Clear selection
6. Is there enough awareness about bowel cancer screening and its importance?
Clear selection
7. How would you like to receive information about screening programmes?
8. How can we best promote screening programmes?
9. Please provide any other feedback relating to your experience with bowel screening or any other health related experience.
10. Please select your age
Clear selection
11. Please enter your Postcode
12. Please enter your Gender
Clear selection
13. Employment Status
Clear selection
14. How likely are you to attend a bowel cancer screening test in the future?
Not very likely
Very Likely
Clear selection
15. Enter our prize draw for a chance to win £50 each month! Please enter your name and phone number or email, so we can contact you if you win!

Your information will not be used for anything else. Our GDPR policy can be found here: 
16. More Information
If you would like more information about Bowel screening, please click the links below:

If you would like help completing this survey, or require more information, please contact Your Voice:
01475 728628
enquiries@yourvoice.org.uk
17. Would you be interested in a Macmillan ICJ Practitioner reaching out to you? They can provide confidential support, advice and signposting to any affected by cancer. Please leave your contact details below.

Our GDPR policy can be found here: www.yourvoice.org.uk/contact-us

Please enter your name, phone number, and email address.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report