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* 1. How old are you?

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* 2. What area do you live in Norfolk?

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* 3. What young carers project/group/organisation are you part of? (this could be your school or youth club)

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* 4. Who do you help care for/support?

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* 5. Why do you help care for/support them?

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* 6. At what age did you become a young carer/young adult carer?

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* 7. Which of these currently apply to you?

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* 8. Does your school/college/workplace know that you are a young carer/young adult carer?

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* 9. If you answered YES to the above question do you feel you receive support from them?

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* 10. What other support have you received?

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* 11. Has your caring role impacted upon your attendance at school/college/work?

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* 12. Have you been bullied as a result of being a young carer or young adult carer? If so, who did you talk to about it?

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* 13. If you have any worries about your caring role/your health/bullying/anything else, who do you talk to?

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* 14. Is there anything that your school/college/workplace could do to help you have a better experience as a young carer/young adult carer? If so, what would it be?

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* 15. Generally, how does being a young carer/young adult carer make you feel?

Happy OK Sad
i We adjusted the number you entered based on the slider’s scale.

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* 16. If being a young carer makes you feel sad/stressed/worried /upset what do you think would help to make this better?

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* 17. When was the last time you saw your GP/Doctor?

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* 18. Have you ever spoken to your GP/Doctor about being a Young Carer?

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* 19. Have you had to miss any appointments because of your caring role in the last 12 months? If yes, what would have helped you to not miss it?

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* 20. If you could change one thing to make your caring role easier what would it be and why?

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* 21. Do you have any time out from your caring role, such as to see friends, or going out?

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* 22. Did you know that you are entitled to have a Young Carers Assessment from Norfolk County Council? If yes, would you know how to ask for one if you wanted one?

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* 23. Is there anything else you’d like to say about what life is like for you and your family?

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* 24. If you would like to be entered into the prize draw to win a £20 giftcard, please write the first letter of your first name and first letter of your surname on the line and if you would like us to contact you directly if you win the voucher, please give us a number below, otherwise we will contact you via your young carers project.

Thank you for taking the time to complete our survey. If you would like to find out more about the work we do and how you can get involved with Norfolk Young Carers Forum, speak to our worker or contact nycf@carerstrustcpn.org

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