Slough Carers Support Survey - Have your say

At Slough Carers Support we are already looking towards our Carers Programme for 2022 and we would like you to help us create our programme and update our website. Please complete the short survey below, telling us a bit about yourself and how best we can support you, to provide a better service for you and the person you are caring for.

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* 1. Who do you care for? Please tick all options that apply.

Spouse/partner

Parent

Child

Neighbour

Friend

Other (please specify)

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* 2. What condition(s) does the person you care for have? (select all that apply)

Dementia

Cancer

Autism

Physical Disability

Other (please specify)

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* 3. How long have you been caring for?

15+ years

10-14 years

5-9 years

1-4 years

Less than a year

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* 4. How many hours a week do you care?

90 or more hours every week

50–89 hours

20–49 hours

1–19 hours

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* 5. If you work, what type of work do you do?

Full-time

Part-time

Self-employed full-time

Self-employed part-time

I am not employed

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* 6. What information/support can Slough Carers Support help you find? Please tick all options that apply.

Emotional support

Information, advice and guidance

Help or support to maintain health and wellbeing

Other (please specify)

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* 7. What kind of activities/events would you like to see included in our Carers programme? Please tick all options that apply.

Arts & crafts classes (face to face)

Coffee mornings (online)

Coffee mornings (face to face)

Carer social groups

Exercises classes (face to face)

Guest speakers, covering topics such as health, finance, wellbeing etc

Painting & drawing classes (face to face)

Park Meet Ups

Reading group (online)

Reading group (face to face)

Trips e.g Beaches, Castles, Galleries, Gardens, Museums etc

Other (please specify)

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* 8. Please select the gender you identify as.

Male

Female

Prefer not to say

Other gender (please specify)

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* 9. Please select your age.

85+

65-84

51-64

37-50

26-36

18-25

Prefer not to say (age)

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* 10. What is your ethnicity?

White English, Welsh, Scottish, Northern Irish or British

White Irish

White Gypsy or Irish Traveller

Other White background

White and Black Caribbean

White and Black African

White and Asian

Other Mixed or Multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Other Asian background

African

Caribbean

Other Black, African or Caribbean background

Arab

Other (please specify)