Knowsley Council is working with partners, businesses, and the local community to develop a strategy to make Knowsley a dementia friendly borough

We want to find out how people living with dementia are supported in Knowsley, what facilities or services they use, what helps them and what difficulties they experience. We would also like you to tell us what makes Knowsley a good place to live for people with dementia.

We are asking Knowsley residents living with dementia and their families to complete and return the following survey to help us with this process.

Do not forget to put any additional comments you may have in the comments box provided at the bottom

If you have any questions about this survey, please contact:

melody.Mutudza@Knowsley.gov.uk


Please complete the questionnaire by 18th of June 2021



Your Support

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* Q1. Are you completing this questionnaire for yourself, or on behalf of someone else?

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* Q2. Have you or the person you are assisting been diagnosed with dementia?

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* Q3. Does the person living with dementia have regular support on an unpaid basis from a friend or relative? (we call this a carer)

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* Q4. What is your current age or the age of the person you are assisting? (tick one)

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* Q5. How would you describe your gender? 

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* Q6. What area do you live in?

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* Q7. What changes or improvements do you think would make Knowsley more dementia friendly?


This section of the survey is to obtain information about your experience during COVID-19 lockdown. The feedback will help us to identify any gaps in the provision of dementia

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* Q8. Do you live alone?

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* Q9. Have there been any changes to the support you have received because of the COVID-19 lockdown? 

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* Q10. What support would have been helpful during COVID-19 lockdown? 

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* Q11. What type of support have you used previously and what would you like to use in future?

  Used Previously Would like to use in future
Help with benefits
Help with legal issues
Activities in the community
Peer support
Respite
Health services
Social care
Libraries
Leisure facilities

The following questions have been included for family carers looking after someone living with Dementia

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* Q12. If you are a carer, which of the statements below best describes your relationship with the person you support? (Please tick one)

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* Q13. How do you (carer) define your gender? 

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* Q14. What is your age?

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* Q15. Do you feel supported as someone who is caring for a person living with dementia?

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* Q16. What other support would you like to receive to help improve the quality of your life?  

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* If you have any further suggestions, please use this space to comment



Thank you for participating in this survey, your time and comments are appreciated.

Please be reassured that the information you provide is kept strictly confidential and anonymous.


Please click Send to complete the survey

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