Carer's Annual Survey 2017

Your Feedback is really important to us as we will use this information to shape our Centre Strategy and the services we provide in the future.

Thank you for taking the time to complete this survey!

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* 1. How old are you?

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* 2. How old is the person you care for?

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* 3. On average how many hours per week do you provide care for?

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* 4. Please describe the illness/disability of the person you care for

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* 5. What impact has caring had on your health and wellbeing?

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* 6. Does your GP know that you are a carer?

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* 7. Are you currently in employment/training/education?

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* 8. From the following nine statements, please rank in order of priority your main concerns for
the future?

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* 9. When did you last contact the Carers' Centre for support?

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* 10. If you have had contact with the Centre, did the support we provided meet your needs?

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* 11. Please feel free to comment on the support you received from the Carers' Centre

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* 12. The centre provides the following services and support. As a carer what support do you want us to provide in the future? You can tick as many or as few as you wish.

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* 13. Is there any other support we could provide which would help you in your caring role?

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* 14. From the following nine statements, please rank in order of priority what would make the
most difference to your health & wellbeing?

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* 15. Are there any other comments you wish to make?

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