Peer Support Network evaluation 17/18

Evaluation Questionnaire

Do you have a few minutes to answer some questions about the impacts of PAW upon the person you support? Please complete this brief questionnaire to support our independent evaluation.

Question Title

* 1. How would you best describe yourself?

Parent/ carer

PA/ Support Worker

Other (please specify)

Question Title

* 2. What are the main issues/needs faced by the person you support?

Isolation

Access to group activities

Lack of appropriate/specialist support

Question Title

* 3. Are you able to rate these issues/needs on a scale of 0 to 5?

	0 Not at all important	1 Not very important	2 Of some importance	3 Quite important	4 Important	5 Very important
Isolation	Isolation 0 Not at all important	Isolation 1 Not very important	Isolation 2 Of some importance	Isolation 3 Quite important	Isolation 4 Important	Isolation 5 Very important
Access to group activities	Access to group activities 0 Not at all important	Access to group activities 1 Not very important	Access to group activities 2 Of some importance	Access to group activities 3 Quite important	Access to group activities 4 Important	Access to group activities 5 Very important
Lack of appropriate support	Lack of appropriate support 0 Not at all important	Lack of appropriate support 1 Not very important	Lack of appropriate support 2 Of some importance	Lack of appropriate support 3 Quite important	Lack of appropriate support 4 Important	Lack of appropriate support 5 Very important

Question Title

* 4. What impact does attending PAW’s events and activities have upon you/the person you support?
(please tick the box that most applies for each outcome statement)

Attending PAW’s events and activities…

	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly disagree
Provides access to information/services	Provides access to information/services Strongly agree	Provides access to information/services Agree	Provides access to information/services Neither agree nor disagree	Provides access to information/services Disagree	Provides access to information/services Strongly disagree
Reduces social isolation	Reduces social isolation Strongly agree	Reduces social isolation Agree	Reduces social isolation Neither agree nor disagree	Reduces social isolation Disagree	Reduces social isolation Strongly disagree
Improves skills and expertise	Improves skills and expertise Strongly agree	Improves skills and expertise Agree	Improves skills and expertise Neither agree nor disagree	Improves skills and expertise Disagree	Improves skills and expertise Strongly disagree
Increases confidence and self-esteem	Increases confidence and self-esteem Strongly agree	Increases confidence and self-esteem Agree	Increases confidence and self-esteem Neither agree nor disagree	Increases confidence and self-esteem Disagree	Increases confidence and self-esteem Strongly disagree
Increases my/our coping mechanisms	Increases my/our coping mechanisms Strongly agree	Increases my/our coping mechanisms Agree	Increases my/our coping mechanisms Neither agree nor disagree	Increases my/our coping mechanisms Disagree	Increases my/our coping mechanisms Strongly disagree
Improves ‘whole family’ resilience	Improves ‘whole family’ resilience Strongly agree	Improves ‘whole family’ resilience Agree	Improves ‘whole family’ resilience Neither agree nor disagree	Improves ‘whole family’ resilience Disagree	Improves ‘whole family’ resilience Strongly disagree
Gives me/us a greater understanding of how to plan for the future	Gives me/us a greater understanding of how to plan for the future Strongly agree	Gives me/us a greater understanding of how to plan for the future Agree	Gives me/us a greater understanding of how to plan for the future Neither agree nor disagree	Gives me/us a greater understanding of how to plan for the future Disagree	Gives me/us a greater understanding of how to plan for the future Strongly disagree

Question Title

* 1. How would you best describe yourself?

Question Title

* 2. What are the main issues/needs faced by the person you support?

Question Title

* 3. Are you able to rate these issues/needs on a scale of 0 to 5?

Question Title

* 4. What impact does attending PAW’s events and activities have upon you/the person you support? (please tick the box that most applies for each outcome statement) Attending PAW’s events and activities…

Question Title

* 5. Do you have any further comments and/or suggestions regarding PAW’s events and activities?

* 4. What impact does attending PAW’s events and activities have upon you/the person you support?
(please tick the box that most applies for each outcome statement)

Attending PAW’s events and activities…