SensationALL Impact Questionaire

Question Title

* 1. When did contact with SensationALL make the biggest impact on you or your family's life?
(please give one answer)

Before diagnosis/identification of condition

During the diagnostic process

After diagnosis/identification of condition

The impact is ongoing

We have not yet significantly benefited

Question Title

* 2. How much impact has contact with SensationALL had on your family?
(please can you answer for each line)

	NA	1-no impact	2-low impact	3-some impact	4-significant impact	5-highly significant impact
Parent	Parent NA	Parent 1-no impact	Parent 2-low impact	Parent 3-some impact	Parent 4-significant impact	Parent 5-highly significant impact
Carer	Carer NA	Carer 1-no impact	Carer 2-low impact	Carer 3-some impact	Carer 4-significant impact	Carer 5-highly significant impact
Sibling	Sibling NA	Sibling 1-no impact	Sibling 2-low impact	Sibling 3-some impact	Sibling 4-significant impact	Sibling 5-highly significant impact
Multiple support need individual	Multiple support need individual NA	Multiple support need individual 1-no impact	Multiple support need individual 2-low impact	Multiple support need individual 3-some impact	Multiple support need individual 4-significant impact	Multiple support need individual 5-highly significant impact
Extended family	Extended family NA	Extended family 1-no impact	Extended family 2-low impact	Extended family 3-some impact	Extended family 4-significant impact	Extended family 5-highly significant impact
Associated professionals	Associated professionals NA	Associated professionals 1-no impact	Associated professionals 2-low impact	Associated professionals 3-some impact	Associated professionals 4-significant impact	Associated professionals 5-highly significant impact
The whole family	The whole family NA	The whole family 1-no impact	The whole family 2-low impact	The whole family 3-some impact	The whole family 4-significant impact	The whole family 5-highly significant impact

Question Title

* 3. Please rate the areas in which SensationALL has benefited the lives of you and your family?
(please can you answer for each line)

	NA	1-no impact	2-low impact	3-some impact	4-significant impact	5-highly significant impact
mental health and wellbeing	mental health and wellbeing NA	mental health and wellbeing 1-no impact	mental health and wellbeing 2-low impact	mental health and wellbeing 3-some impact	mental health and wellbeing 4-significant impact	mental health and wellbeing 5-highly significant impact
physical or developmental areas	physical or developmental areas NA	physical or developmental areas 1-no impact	physical or developmental areas 2-low impact	physical or developmental areas 3-some impact	physical or developmental areas 4-significant impact	physical or developmental areas 5-highly significant impact
feelings of empowerment	feelings of empowerment NA	feelings of empowerment 1-no impact	feelings of empowerment 2-low impact	feelings of empowerment 3-some impact	feelings of empowerment 4-significant impact	feelings of empowerment 5-highly significant impact
skills and knowledge	skills and knowledge NA	skills and knowledge 1-no impact	skills and knowledge 2-low impact	skills and knowledge 3-some impact	skills and knowledge 4-significant impact	skills and knowledge 5-highly significant impact
self confidence levels	self confidence levels NA	self confidence levels 1-no impact	self confidence levels 2-low impact	self confidence levels 3-some impact	self confidence levels 4-significant impact	self confidence levels 5-highly significant impact
friendships	friendships NA	friendships 1-no impact	friendships 2-low impact	friendships 3-some impact	friendships 4-significant impact	friendships 5-highly significant impact
family dynamics and relationships	family dynamics and relationships NA	family dynamics and relationships 1-no impact	family dynamics and relationships 2-low impact	family dynamics and relationships 3-some impact	family dynamics and relationships 4-significant impact	family dynamics and relationships 5-highly significant impact
independence skills	independence skills NA	independence skills 1-no impact	independence skills 2-low impact	independence skills 3-some impact	independence skills 4-significant impact	independence skills 5-highly significant impact
emotional regulation and mood	emotional regulation and mood NA	emotional regulation and mood 1-no impact	emotional regulation and mood 2-low impact	emotional regulation and mood 3-some impact	emotional regulation and mood 4-significant impact	emotional regulation and mood 5-highly significant impact
inclusion and social acceptance	inclusion and social acceptance NA	inclusion and social acceptance 1-no impact	inclusion and social acceptance 2-low impact	inclusion and social acceptance 3-some impact	inclusion and social acceptance 4-significant impact	inclusion and social acceptance 5-highly significant impact
feeling of safety and nurturement	feeling of safety and nurturement NA	feeling of safety and nurturement 1-no impact	feeling of safety and nurturement 2-low impact	feeling of safety and nurturement 3-some impact	feeling of safety and nurturement 4-significant impact	feeling of safety and nurturement 5-highly significant impact

Comments:

Question Title

* 4. Please rate the SensationALL services you have attended which have benefited you and your family
(please can you answer each area that applies to you)

	1-no impact	2-low impact	3-some impact	4-significant impact	5-highly significant impact	6-not attended
pre-school groups (Sensory/Early Comms)	pre-school groups (Sensory/Early Comms) 1-no impact	pre-school groups (Sensory/Early Comms) 2-low impact	pre-school groups (Sensory/Early Comms) 3-some impact	pre-school groups (Sensory/Early Comms) 4-significant impact	pre-school groups (Sensory/Early Comms) 5-highly significant impact	pre-school groups (Sensory/Early Comms) 6-not attended
specialist advice	specialist advice 1-no impact	specialist advice 2-low impact	specialist advice 3-some impact	specialist advice 4-significant impact	specialist advice 5-highly significant impact	specialist advice 6-not attended
signposting	signposting 1-no impact	signposting 2-low impact	signposting 3-some impact	signposting 4-significant impact	signposting 5-highly significant impact	signposting 6-not attended
parental support and empowerment	parental support and empowerment 1-no impact	parental support and empowerment 2-low impact	parental support and empowerment 3-some impact	parental support and empowerment 4-significant impact	parental support and empowerment 5-highly significant impact	parental support and empowerment 6-not attended
training workshops	training workshops 1-no impact	training workshops 2-low impact	training workshops 3-some impact	training workshops 4-significant impact	training workshops 5-highly significant impact	training workshops 6-not attended
school age regulation groups (CHILL-oot/Girls Group)	school age regulation groups (CHILL-oot/Girls Group) 1-no impact	school age regulation groups (CHILL-oot/Girls Group) 2-low impact	school age regulation groups (CHILL-oot/Girls Group) 3-some impact	school age regulation groups (CHILL-oot/Girls Group) 4-significant impact	school age regulation groups (CHILL-oot/Girls Group) 5-highly significant impact	school age regulation groups (CHILL-oot/Girls Group) 6-not attended
inclusive social groups	inclusive social groups 1-no impact	inclusive social groups 2-low impact	inclusive social groups 3-some impact	inclusive social groups 4-significant impact	inclusive social groups 5-highly significant impact	inclusive social groups 6-not attended
0adult social groups (Mayhem)	0adult social groups (Mayhem) 1-no impact	0adult social groups (Mayhem) 2-low impact	0adult social groups (Mayhem) 3-some impact	0adult social groups (Mayhem) 4-significant impact	0adult social groups (Mayhem) 5-highly significant impact	0adult social groups (Mayhem) 6-not attended
teenage social groups (socALLise)	teenage social groups (socALLise) 1-no impact	teenage social groups (socALLise) 2-low impact	teenage social groups (socALLise) 3-some impact	teenage social groups (socALLise) 4-significant impact	teenage social groups (socALLise) 5-highly significant impact	teenage social groups (socALLise) 6-not attended
holiday groups	holiday groups 1-no impact	holiday groups 2-low impact	holiday groups 3-some impact	holiday groups 4-significant impact	holiday groups 5-highly significant impact	holiday groups 6-not attended
family sessions (Stay & Play)	family sessions (Stay & Play) 1-no impact	family sessions (Stay & Play) 2-low impact	family sessions (Stay & Play) 3-some impact	family sessions (Stay & Play) 4-significant impact	family sessions (Stay & Play) 5-highly significant impact	family sessions (Stay & Play) 6-not attended
sibling sessions	sibling sessions 1-no impact	sibling sessions 2-low impact	sibling sessions 3-some impact	sibling sessions 4-significant impact	sibling sessions 5-highly significant impact	sibling sessions 6-not attended
music sessions	music sessions 1-no impact	music sessions 2-low impact	music sessions 3-some impact	music sessions 4-significant impact	music sessions 5-highly significant impact	music sessions 6-not attended

Comments:

Question Title

* 5. Please agree or disagree with the following statements about how you feel as a result of your contact with SensationALL.
(please can you answer for each line)

	Agree	Unsure	Disagree
You feel more able/skilled to deal with daily life and challenges	You feel more able/skilled to deal with daily life and challenges Agree	You feel more able/skilled to deal with daily life and challenges Unsure	You feel more able/skilled to deal with daily life and challenges Disagree
You feel more supported	You feel more supported Agree	You feel more supported Unsure	You feel more supported Disagree
You feel you/your family are receiving timely support	You feel you/your family are receiving timely support Agree	You feel you/your family are receiving timely support Unsure	You feel you/your family are receiving timely support Disagree
You/your family are benefiting from specialist advice	You/your family are benefiting from specialist advice Agree	You/your family are benefiting from specialist advice Unsure	You/your family are benefiting from specialist advice Disagree
You feel accepted & in touch with people who appreciate your situation	You feel accepted & in touch with people who appreciate your situation Agree	You feel accepted & in touch with people who appreciate your situation Unsure	You feel accepted & in touch with people who appreciate your situation Disagree
You feel more positive about your life	You feel more positive about your life Agree	You feel more positive about your life Unsure	You feel more positive about your life Disagree
You feel more socially included	You feel more socially included Agree	You feel more socially included Unsure	You feel more socially included Disagree
You/your family are benefiting from specialist skills/intervention	You/your family are benefiting from specialist skills/intervention Agree	You/your family are benefiting from specialist skills/intervention Unsure	You/your family are benefiting from specialist skills/intervention Disagree
You feel less stressed/worried	You feel less stressed/worried Agree	You feel less stressed/worried Unsure	You feel less stressed/worried Disagree
Your family relationships have improved	Your family relationships have improved Agree	Your family relationships have improved Unsure	Your family relationships have improved Disagree

Any comments or details;

Question Title

* 6. Please choose which services you would like to access this coming year? (SensationALL service details here)

Preschool therapy led Sensory Play group

Preschool therapy led Early Communication group

Family weekend Stay & Play support sessions

School age emotional, social and relaxation groups (CHILL-oot, Girls Group)

Teenage/young adult social group

Adult social groups

Adult Life Skills group - kitchen skills, cookery, food planning, gardening, arts & crafts

School aged Life Skills group

Inclusive Music Group - sing & sign, instrument playing, karaoke, dancing

Drumming &/or drum'n'move (rhythm & exercise)

Family yoga

Lego Therapy

ASN exercise/zumba

Sibling Support (holiday sessions)

Sibling weekend sessions

Inclusive Holiday Playscheme/Club - games, crafts, sports, outside fun etc

Training Workshops

Specialist Advice/Consultation

Post diagnostic Autism Support programmes (like Cygnet or Earlybird)

Sensory (profiling) Assessments

Sensory & soft play resource hire

ASN Youth Club

ASN Music Lessons

ASN Birthday Parties

Question Title

* 7. Please tell us how you like to receive information from us about services, events and our holiday programmes by ranking the following methods in order of preference.(1 being most preferred, 8 being least).

Newsletter

Social media

Website

Posters

Face to Face

Publications (like Me Too)

Face to face

Question Title

* 8. Please describe your experiences of SensationALL & the impact it has had on your life?

Question Title

* 9. How did you first hear about the services offered at SensationALL?”

Friends/family

NHS staff

Education staff

Social work staff

Social media

Online search

Printed publications - magazines

Community posters - leaflets

Other

Other (please specify)

Question Title

* 1. When did contact with SensationALL make the biggest impact on you or your family's life?(please give one answer)

Question Title

* 2. How much impact has contact with SensationALL had on your family?(please can you answer for each line)

Question Title

* 3. Please rate the areas in which SensationALL has benefited the lives of you and your family?(please can you answer for each line)

Question Title

* 4. Please rate the SensationALL services you have attended which have benefited you and your family(please can you answer each area that applies to you)

Question Title

* 5. Please agree or disagree with the following statements about how you feel as a result of your contact with SensationALL.(please can you answer for each line)

Question Title

* 6. Please choose which services you would like to access this coming year? (SensationALL service details here)

Question Title

* 7. Please tell us how you like to receive information from us about services, events and our holiday programmes by ranking the following methods in order of preference.(1 being most preferred, 8 being least).

Question Title

* 8. Please describe your experiences of SensationALL & the impact it has had on your life?

Question Title

* 9. How did you first hear about the services offered at SensationALL?”

Question Title

* 10. How could SensationALL services be improved?

* 1. When did contact with SensationALL make the biggest impact on you or your family's life?
(please give one answer)

* 2. How much impact has contact with SensationALL had on your family?
(please can you answer for each line)

* 3. Please rate the areas in which SensationALL has benefited the lives of you and your family?
(please can you answer for each line)

* 4. Please rate the SensationALL services you have attended which have benefited you and your family
(please can you answer each area that applies to you)

* 5. Please agree or disagree with the following statements about how you feel as a result of your contact with SensationALL.
(please can you answer for each line)