Carer Survey

You are being asked to complete this survey because you have identified as a carer in Cheshire West and Chester. We are gathering feedback from carers about taking a break from their caring role. We are using the term 'break' to mean time for you to do something for yourself including having a rest!

The first few questions are to help us identify the groups of people who have answered our survey e.g. is it mainly female carers. The second group looks at your ability to take a break from caring and if the services provided locally meet your needs.
If you provide contact details at the end of the survey you will be entered into a draw for a chance to win a £25 gift voucher - your answers will not be linked to your contact details and all responses are confidential.
 
If you would like to talk to someone about the survey please call the helpline on 0300 102 0008.

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* 1. Are you:

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* 2. Do you have a disability or long term condition?

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* 3. Are you aged:

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* 4. Are you:

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* 5. How long have you been a carer?

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* 6. Are you:

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* 7. How many hours are you providing care and support in the average week?

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* 8. How many people do you care for?

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* 9. Do you claim Carers Allowance?

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* 10. Have you been able to take a break from your caring role in the last 2 years?

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* 11. If you had a break what did you use it for?

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* 12. If you didn't have a break, what would you have used your break for?

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* 13. What are the barriers to you taking a break/having more breaks?

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* 14. Which services have you received from Cheshire West Carer Support Service in the past two years and what did you think of them?

  Very satisfied Satisfied Not satisfied I've not received this service please send me more information I've not received this service I don't require further information
Emergency card
Relaxation therapy at our office
Lunch clubs
Information day
Carer Day 
Carer Support Group
Carers in employment support
Personal budget
Parent carer event
Carer's Week event at Hoole Hall
Essentials Fund
Benefits advice 
Helpline
one to one carer support
Other

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* 15. Have you accessed a Carer Break from any of the following organisations in the last two years and what did you think of them? Select all those that apply.

  Very satisfied satisfied Not satisfied Not accessed
Joshua Tree (activity/bespoke breaks)
Hospice of the Good Shepherd (carer counselling/complementary therapies)
Making Space (group breaks)
ChAPS (Parental training programme/supporting carers to stay healthy)
Alzheimer's Society (dementia cafes)
CarersTrust4All (Young Adult Carer service)
OPAL (Rural Community Services) (Carer's BreakTime)
Neurotherapy Centre (peer support on/offsite, volunteer programme)
Neuromuscular Centre (family/club activities, complementary therapies, mindfulness)
Cheshire and Warrington Carers Trust (You Care You Choose)
Cheshire Young Carers (drop in sessions Winsford/EP/Chester, social activities)

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* 16. Have you accessed carer support from any other organisation in the last 12 months? If so please state below.

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* 17. Are there any services that would support you in your role as a carer that are not currently provided? If you have any ideas about services that would help you please detail below

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* 18. If you would like to be entered for the prize draw for completing this survey, please leave your details below.

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