We would like to ask you some questions to give people living with dementia and their carers a voice to influence change for the future. This survey should only take a few minutes. It is important to answer all questions to give us the best picture of the service we provide.

1. Are you a person living with dementia or carer of a person living with dementia? *


2. Have you ever used any Yorkshire Ambulance Services *


3. Was the call an emergency situation? *


4. What went well about the interaction?


5. If anything, what didn’t go well?


6. What would have made the experience better?


7. Would you feel confident calling 111 for advice in the future? *


8. Would you feel confident using Patient Transport Service in the future? *


9. Would you feel confident calling 999 in an emergency in the future? *