Changing Places Survey 2020

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* 1. Before you started this survey, were you aware of Changing Places facilities?

Yes

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* 2. Do you, or anyone you know need to use a Changing Places facility?

Yes

Other (please specify)

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* 3. If there is a Changing Places user in your household currently, which age category do they fall into?

Under 16

16-29

30 - 44

45 - 59

60+

n/a

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* 4. What is the gender of the Changing Places user in your household?

Male

Female

Prefer not to say

Other

n/a

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* 5. What are the needs of the Changing Places user?

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* 6. Which aspect of a Changing Places toilet do (would) you use ?

Handrails

Hoist

Tracking System

Bench

Shower

Other (please specify

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* 7. What are the benefits of a Changing Places toilet for you?

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* 8. Have you used a Changing Place with a CLOSOMAT toilet?

Yes

Other (please specify)

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* 9. How would a CLOSOMAT toilet improve the Changing Place for you?

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* 10. If no Changing Places toilet is available, how long can you normally spend away from home?

Under 1 hour

1-3 hours

3 -5 hours

5 hours and more

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* 11. Have you, or a family member/carer, ever suffered injury due to lack of a Changing Places toilet when you had to resort to manual handling?

Yes

Prefer not to say

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* 12. Does a lack of Changing Places facilities make you feel isolated ?

Yes

Prefer not to say

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* 13. 1. On a scale of 1 – 4 how does access to Changing Places toilets impact what you do and where you go? (1 – very little, 4 – very much)

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* 14. Is there anything else you would like to tell us?

Please select Next to complete the survey