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* 1. How satisfied are you with the way we run our service in Hackney?

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* 2. Did the service you choose give you the break you needed?

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* 3. Does your child use one of our approved Providers or an Individual Budget IB)? (If you use an IB please go to question 7)

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* 4. How satisfied are you with your childs current provider? If you are not satisfied please provide more details below

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* 5. Would you consider moving over to an Individual Budget (IB) in the future?

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* 6. Would you feel confident with the flexibility to choose and pay for your own choice of provision? (Please skip to Question 9)

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* 7. If your child is currently using an IB, are you satisfied paying for a service directly?

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* 8. Do you have any queries or concerns about buying your own service? Please comment below

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* 9. We plan to introduce a pre-paid card form 1st April 2017, which will hold your child's IB and record expenditure for you. This will reduce the amount of receipts you have to keep hold of. Would you be happy with this form of payment?

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* 10. Do you have any other comments, questions, or concerns relating to the questions above?

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