Share your story - loved one - Southmead Hospital Charity

First Name*
Last Name*
Date of birth*
MM slash DD slash YYYY
Email address*
House/flat name or number*
Street address*
City/ town*
Postcode*
Relation to your loved one:*
Which ward and departments cared for your loved one? How long were they/ have they been in the care of the teams here?
Can you tell us about their treatment?
How did you feel throughout their treatment journey?
What was the most difficult part for you?
How did the staff help you and your loved one through your experience?
What would you say to someone who is thinking about supporting the hospital through the Charity?
Is there anything else you would like to tell us?
Marketing permissions
We would like to contact you in the future about the impact of your generous support. If you would prefer not to hear from us in the future, you can opt-out using the checkboxes below.
- No, I don’t want to be contacted by post
- No, I don’t want to be contacted over the phone
Email preferences
We would like to email you about other ways you can help support the staff and patients at your local hospitals. Please tick the below box to hear from us via email.
- Yes, I’d like to hear from you via email
The Charity is committed to protecting your privacy, personal information and confidentiality and we take our data protection responsibilities very seriously. For more information, please read our privacy policy.
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Thank you for your support – it makes a huge difference to our patients, their families and our staff.