Your Caring Role Question Title * 1. Do you live in South Tyneside? Yes No Question Title * 2. Does the person you care for live in South Tyneside? Yes No Question Title * 3. Do you receive any kind of support to help you care? Yes No Question Title * 4. If yes, what support do you receive? (This could be practical support, support from family and/or services in the community). Question Title * 5. What are the key things that help you to continue in your role as a carer? Question Title * 6. What areas could work better for you as a carer or help you to continue to care? Question Title * 7. Caring can sometimes affect your own health. What would help you to remain physically and mentally well? Question Title * 8. If you would like to stay informed and receive a summary of the results of the survey, please let us have your contact details. Your details will only be used to keep you informed of the outcome of this survey and not for any other reason. Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Done