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* 1. Do you currently care for someone or have you previously cared for someone?

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* 2. Who do you or who have you provided care for? (Please choose all that apply)

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* 3. What type of personal care or support do you or have you provided?

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* 4. Have you had a carers assessment to look at the impact that caring has on you and look at what support could be offered to you?

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* 5. What support have you used in your caring role? (please choose all that apply).

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* 6. Has the person you care for used any of the support services listed below? (Please choose all that apply).

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* 7. What other support do you need which is currently missing within the community? Please use the comment box below for your answer.

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* 8. What is the greatest challenge, or challenges, you face as a person caring for someone on a daily basis? Please use the comment box below for your answer.

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