You can tell us your experiences of accessing NHS dentistry using this form.“,”prompt”:Share your experience”, “displayOnSensitive”:false,”elementId”97c15998-52a8-4ddc-9385-33cabbedd91d”, title”Share your experience”, “isNonCollapsible”:true, “formFields”:({ “_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’, ‘name’, name, ‘id’, 159427332, ‘hideLabel’:false, ‘label’, Name, “hidden”:false,”type”:text”required” :true},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”where_you_live”,id”:159427333 “,”hideLabel”:false,”label”Where do you live?”,”hidden”:false ,”type”text”required”:true},{“_type”:model.dotcomrendering .pageElements.CalloutFormFieldBase”,”name ‘tell_us_a_bit_about_yourself_eg_age_and_what_you_do_for_a_life”,”id ‘159427334’, ‘hideLabel’:false’,label ‘Tell us something about yourself (e.g. your age and what you do for a living) “,”hidden”:false,”type”text”required”:false},{“_type”model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”do_you_or_members_of_your_family_have_difficult_to_access_ get_a_nhs_dentist_”,”description”: “Please provide as much detail as possible”, id ‘159427335’, ’hideLabel’:false, ‘label ‘Have you or members of your family had difficulty accessing an NHS -dentist? “,”hidden”:false,”type”textarea”,required”:true},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,name”:_have_removed_you_or_members_of_your_family_from_nhs_list_of_a_dentist_”,”description”: “Gives you as much as possible details on”, id ‘159427397’, ‘hideLabel’:false, ‘label’: Have you or members of your family been removed from the NHS list of a dentist? “,”hidden”:false,”type”textarea”,”required”:false},{“_type”model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”did_you_pay_to_go_private_or_for_members_of_your_family_to_go_private_and_if_so_what_cost_did_you_face_or_did_you_seek_treatment_from_an other_part _of_the_nhs”,”description”: “Please provide so as many details as possible”, id ‘159427483’, ‘hideLabel’:false, ‘label ‘Have you paid to go private, or for members of your family to go private, and if so, what costs you incur got? Or have you sought treatment from another part of the NHS?”,”hidden”:false,”type”textarea”,”required”:false},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”, “name ‘if_you_are_happy_to_you_can_upload_a_photo_of_yourself_here'”, id ‘159427338’, ‘hideLabel’:false, ‘label ‘If you want, you can upload a photo of yourself here’, ‘hidden’:false, ‘ type ‘file’, ‘required’: false},{‘_type ‘model.dotcomrendering.pageElements.CalloutFormFieldRadio’, ‘name’, can_we_publish_your_comment, ‘options’:({‘label ‘Yes, full”,”value”: Yes, full”},{“label “: Yes, but please contact me first”, “value”: Yes, but please contact me first”},{“label”: Yes, but please keep me anonymous”, “value”: “Yes, but please keep me anonymous”},{“label” “No, this is just information”, “value”:No, this is just information”}) ,”id”:159427339″,”hideLabel”:false,”label “May we publish your comment?”hidden”:false,”type”:radio”,required”:true},{ “_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”phone number”, “description”” Your contact details are useful so that we can contact you for further information. They are only seen by the Guardian.”,”id”:159427340″, “hideLabel”:false,”label” “Phone number”, “hidden”:false,”type”:text”, required “:false},{ “_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’,name ’email_address_’,description ‘Your contact details are useful so that we can contact you for further information. They will only be seen by The Guardian.”,”id”:159427341 “,”hideLabel”:false,”label”Email Address”, “hidden”:false,”type”text”,required “:true},{“_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’,name ‘you_can_add_more_information_here ‘,’description ‘If you include other people’s names, ask them first.’,’id’: “159427342”,”hideLabel”:false,”label “You can add more information here”, “hidden”:false ,”type”:textarea”,”required”:false}),”_type” model.dotcomrendering.pageElements.CalloutBlockElementV2″,”tagName: callout-nhs-dentheelkunde-february-2024″,”activeFrom”:1707264000000,”id : abf6c4ba-44ba-4854-af75-8f7793f61117″,”calloutsUrl” :”https://callouts.guardianapis.com/formstack-campaign/submit”,”formId”:5630150},”pageId”:society/2024/feb /07/tell-us-your-experiences-of-getting -access-to-nhs-dentistry”}” config=”{“renderingTarget”:Web”,”darkModeAvailable”:false}”>
Share your experience
You can tell us your experiences of accessing NHS dentistry using this form.