Working with you

Supporting you - Questionnaire

Carers Count, The Kirkwood and Locala are considering running some virtual interactive sessions where we can share updates about what’s happening at the moment within our organizations and give you the opportunity to ask questions about anything that’s concerning you.

To help us find out if you would like us to run these sessions and what content you’d like us to cover please take part in this short survey.

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* 1. Would you be interested in joining a session including representatives from Carers Count, Locala and The Kirkwood?

Yes

If no, is there a reason for this?

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* 2. When would you like these sessions to run?

Daytime

Evening

Either

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* 3. What would you like the sessions to include?

Involving carers in care plans

Ask the expert: community nurses, therapists

Support available for carers

Care and support in a virtual world

Care Coordination, how could we improve our services

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* 4. What communication method/platform would suit you best?

MS Teams

Zoom

Skype

To help us understand your situation better and ensure we include content that will help and support you, please answer the following questions.

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* 5. What are the biggest concerns you have at the moment for you and those that support you?

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* 6. Currently what would make the biggest difference to you and those that support you?

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* 7. Anything else you would like to share with us

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* 8. And finally, so we know we are listening to a diverse community, can you please tell us a little bit about yourself; What age are you?

0-15

16-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

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* 9. What is your ethnic group?

Asian or Asian British

Black or Black British

Mixed or Multiple ethnic groups

White

Any other Ethnic Group

I do not wish to disclose my ethnic origin.