Skip survey header

NHS70

#myNHS70

If you’d like to share your experience with the NHS in Wales over the last 70 years with us, you can do that here

Pe hoffech rannu eich profiad o’r GIG yng Nghymru dros y 70 mlynedd diwethaf medrwch wneud hynny yma
1. Would you like to complete this form in English or Welsh? / Hoffech chi lenwi y ffurflen yn y Gymraeg neu'r Saesneg? *This question is required.
2. What is your Welsh Connection? Please tick all those that apply *This question is required.
2. Beth yw eich cyswllt â Chymru? Rhowch dic gerllaw pob un perthnasol os gwelwch yn dda *This question is required.
This question requires a valid email address.
This question requires a valid email address.
This question requires a valid date format of DD/MM/YYYY.
calendar
This question requires a valid date format of DD/MM/YYYY.
calendar
2. What is your connection to the NHS in Wales? Please tick all that apply  *This question is required.
2. Pa gysylltiad sydd gennych chi â’r GIG yng Nghymru? Rhowch dic gerllaw pob un perthnasol os gwelwch yn dda   *This question is required.
2. Would you like us to contact you further via email or phone to find out more about your stories?  *This question is required.
2. A hoffech i ni gysylltu â chi eto trwy gyfrwng e-bost neu ffôn er mwyn dod i wybod rhagor am eich storïau?  *This question is required.