Annual Survey 2018

*** Please complete and return by 17th August 2018 to be entered into a prize draw to win a £100 gift voucher of your choice. ***

PODS (Parents Opening Doors) is your local independent Parent Carer Forum, who also host the Face 2 Face Emotional Support Scheme. We offer support, information and opportunities to have your voice heard in service development and wider involvement in workshops, inclusive trips etc. We are open to all families who have a child or young person with a disability, additional need or SEND between the ages of 0 and 25 years.

Your feedback is very important to us and we would appreciate it if you could complete this Annual Survey

Thank you.

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* 1. Contact details

Name

Post Code

Email Address

Phone Number

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* 2. How have you engaged with/accessed PODS Parent Carer Forum (or Face 2 Face Befriender Service):

Website

Workshops - Training

Family Groups

Social Media

Telephone

Support – Emotional, Practical & Social

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* 3. Have you received one to one support from our Face 2 Face scheme?

Yes

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* 4. Have you attended any of our Family Groups (daytime or evening)?

Yes

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* 5. By accessing support do you feel less isolated and more able to cope?

Yes

Parent Participation / Getting Involved

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* 6. Do we give you enough opportunity to participate in joint decision making and development of services?

Yes

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* 7. Do you feel that your voice has been heard in developing services?

Yes

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* 8. Has the opportunity to be involved given you more confidence?

Yes

Information Provision - SEND Reforms and Legislation

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* 9. Has information provided by us helped to improve your knowledge of services and legislation e.g.EHCP, Assessments & Transition?

Yes

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* 10. Notes or Additional Comments on the above:

Help us to focus on what is important to you:

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* 11. What are your main worries or concerns as a Parent Carer?

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* 12. What would you like to see developed in the future?

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* 13. Please let us know what your thoughts are on the following you may access:

	Very Good	Good	Poor	Very Poor
Local GP Practice	Local GP Practice Very Good	Local GP Practice Good	Local GP Practice Poor	Local GP Practice Very Poor
Portage	Portage Very Good	Portage Good	Portage Poor	Portage Very Poor
Child Development Centre	Child Development Centre Very Good	Child Development Centre Good	Child Development Centre Poor	Child Development Centre Very Poor
Child Specialist Services/Disabled Child Team	Child Specialist Services/Disabled Child Team Very Good	Child Specialist Services/Disabled Child Team Good	Child Specialist Services/Disabled Child Team Poor	Child Specialist Services/Disabled Child Team Very Poor
CAMHS/Bee-U (Emotional Health and Wellbeing Service)	CAMHS/Bee-U (Emotional Health and Wellbeing Service) Very Good	CAMHS/Bee-U (Emotional Health and Wellbeing Service) Good	CAMHS/Bee-U (Emotional Health and Wellbeing Service) Poor	CAMHS/Bee-U (Emotional Health and Wellbeing Service) Very Poor
Healios	Healios Very Good	Healios Good	Healios Poor	Healios Very Poor
Kooth	Kooth Very Good	Kooth Good	Kooth Poor	Kooth Very Poor
BEAM (Children's Society)	BEAM (Children's Society) Very Good	BEAM (Children's Society) Good	BEAM (Children's Society) Poor	BEAM (Children's Society) Very Poor
CAMHS LD	CAMHS LD Very Good	CAMHS LD Good	CAMHS LD Poor	CAMHS LD Very Poor
Health Visiting Team	Health Visiting Team Very Good	Health Visiting Team Good	Health Visiting Team Poor	Health Visiting Team Very Poor
School Nurse	School Nurse Very Good	School Nurse Good	School Nurse Poor	School Nurse Very Poor
Physiotherapy	Physiotherapy Very Good	Physiotherapy Good	Physiotherapy Poor	Physiotherapy Very Poor
Speech & Language Therapy	Speech & Language Therapy Very Good	Speech & Language Therapy Good	Speech & Language Therapy Poor	Speech & Language Therapy Very Poor
Occupational Therapy	Occupational Therapy Very Good	Occupational Therapy Good	Occupational Therapy Poor	Occupational Therapy Very Poor
Educational Psychologist	Educational Psychologist Very Good	Educational Psychologist Good	Educational Psychologist Poor	Educational Psychologist Very Poor
Continence Services	Continence Services Very Good	Continence Services Good	Continence Services Poor	Continence Services Very Poor
Wheelchair Services	Wheelchair Services Very Good	Wheelchair Services Good	Wheelchair Services Poor	Wheelchair Services Very Poor
Ican2 & Short Breaks	Ican2 & Short Breaks Very Good	Ican2 & Short Breaks Good	Ican2 & Short Breaks Poor	Ican2 & Short Breaks Very Poor
IASS	IASS Very Good	IASS Good	IASS Poor	IASS Very Poor
Early Help Teams	Early Help Teams Very Good	Early Help Teams Good	Early Help Teams Poor	Early Help Teams Very Poor
Family Connect	Family Connect Very Good	Family Connect Good	Family Connect Poor	Family Connect Very Poor
Libraries	Libraries Very Good	Libraries Good	Libraries Poor	Libraries Very Poor
'Changing Places' Facilities	'Changing Places' Facilities Very Good	'Changing Places' Facilities Good	'Changing Places' Facilities Poor	'Changing Places' Facilities Very Poor
Local Offer	Local Offer Very Good	Local Offer Good	Local Offer Poor	Local Offer Very Poor
Future Focus	Future Focus Very Good	Future Focus Good	Future Focus Poor	Future Focus Very Poor
Provision 16-19 years (health/education/social care)	Provision 16-19 years (health/education/social care) Very Good	Provision 16-19 years (health/education/social care) Good	Provision 16-19 years (health/education/social care) Poor	Provision 16-19 years (health/education/social care) Very Poor
Provision 19-25 years (health/education/social care)	Provision 19-25 years (health/education/social care) Very Good	Provision 19-25 years (health/education/social care) Good	Provision 19-25 years (health/education/social care) Poor	Provision 19-25 years (health/education/social care) Very Poor
Any other service	Any other service Very Good	Any other service Good	Any other service Poor	Any other service Very Poor
Any other service	Any other service Very Good	Any other service Good	Any other service Poor	Any other service Very Poor

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* 14. Agreement
I agree to my details being kept by PODS and understand that this information will be kept securely on a database and that it will not be given to anyone without my permission and used only for PODS work. I agree to you contacting me from time to time with information regarding PODS work. (Please enter your full name and date of completing)

Thank you for completing our survey - all the results will be reported in the next newsletter and will feed into our Big Lottery reporting and into our plans for the coming year.

Thank you for your help and good luck in the prize draw!

On behalf of PODS Parent Carer Forum & Face 2 Face Team