Become a member Become a member and you will receive the Healthwatch Stockport quarterly Newsletter and our weekly IRU, which includes the latest information on health & social care in Stockport. You will also be invited to a Members Quarterly ForumYou will be given opportunities to participate in working groups and activities based on your interests and experiences given information about our latest meetings and events. All participation is voluntary. Please provide your contact details Name Company ? Email Phone Address Address 2 City/Town Postal Code Please select your preferred method of contact Post Email Phone Where did you hear about Healthwatch Stockport? What Healthwatch activities interest you? (please select all that apply) Take part in groups, surveys and/or interviews Providing your views or gather others views from time to time Join the Reading Panel Join the Lived Experience Panel Receive newsletters and the IRU Please tell us about the health and care issue(s) that are most important to you. What skills or experience could you bring to Healthwatch Stockport? Do you have an association with any other groups? (please detail) Do you have an association with any Healthwatch Member? (please detail) Please tell us a bit about youIt would really help to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary. Date of Birth Please tell us your gender Please tell us your gender - None -WomanManNon-binaryPrefer not to sayPrefer to self-describe Enter other… Is your gender identity the same as your sex recorded at birth? - None -YesNoPrefer not to say Please tell us which sexual orientation you identify with Please tell us which sexual orientation you identify with - None -AsexualBisexualGay manHeterosexual / StraightLesbian / Gay womanPansexualPrefer not to sayPrefer to self-describe Enter other… Please select your ethnicity Please select your ethnicity Any other ethnic groupArabAsian / Asian British: BangladeshiAsian / Asian British: ChineseAsian / Asian British: IndianAsian / Asian British: PakistaniAsian / Asian British: Any other Asian / Asian British backgroundBlack / Black British: AfricanBlack / Black British: CaribbeanBlack / Black British: Any other Black / Black British backgroundMixed / Multiple ethnic groups: Asian and WhiteMixed / Multiple ethnic groups: Black African and WhiteMixed / Multiple ethnic groups: Black Caribbean and WhiteMixed / Multiple ethnic groups: Any other Mixed / Multiple ethnic groups backgroundWhite: British / English / Northern Irish / Scottish / WelshWhite: IrishWhite: Gypsy, Traveller or Irish TravellerWhite: RomaWhite: Any other White backgroundPrefer not to sayAny other ethnic group Enter other… Please select any of the following that apply to you I have a disability I have a long term condition I am a carer None of the above I prefer not to say If you would like to, please tell us what your disability or long term condition is Submit Leave this field blank
