Respite (Short Breaks) for Adults with Learning Disabilities – Customer Survey Questions

Respite (Short breaks) are for people with learning disabilities.

It is a chance to spend time away from their carers and for their carers to have a break from their caring responsibilities.
 
They may meet up with their friends, learn new skills and try out new things.
 
Why are we asking you to fill in this questionnaire?

We would like to know what works well and what could be improved.

This is to make sure the service meets everyone’s needs.

We are asking people who have this support- like YOU- some questions to find out more.


If you could fill out this questionnaire it would be really helpful.


We won’t use any names so what you write will be private.
 

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* 1. How old are you? 

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* 2. Which area do you live in?

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* 3. What type of housing do you live in?

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* 4. Have you used respite or short breaks?

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* 5. What type of respite or short break have you used?

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* 6. Did you have a choice of respite or short break?

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* 7. How is your respite or short break funded?

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* 8. Are you happy with your respite or short break?

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* 9. Do you think you have respite or short breaks often enough?

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* 10. Is the time you are at your respite or short break long enough?

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* 11. Can you book your respite or short break when you need it?

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* 12. Is your respite or short breaks easy to book?

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* 13. Is it easy to change your booking?

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* 14. Is it easy to get transport to your respite or short break?

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* 15. Can you still go to your daytime activities whilst at your respite or short break? e.g. day centre, social activities, education and employment

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* 16. Please tell us what you enjoy about respite or short breaks?

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* 17. Please tell us what could be better?

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* 18. Where would you choose to have your overnight respite or short break? (Tick all that apply)

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* 19. Do you think your respite or short breaks service has improved in the last 5 years?

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* 20. Any other comments?

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