PASS - Are you a Carer?

The Pharmacists' Advice and Support Service (PASS) is a charitable trust with a legal mandate to help pharmacists, ex pharmacists, their dependants and pre-registration trainees in times of need. Research suggests that now more than ever, Pharmacists are under increasing pressure both at work and at home. In response to this, we are reviewing our services and would appreciate feedback on how the service can better support potential beneficiaries.

This is a short survey which will take no longer than 5-10 minutes to complete.

Please be assured that all information provided will be anonymous and treated as confidential.

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* 1. Are you Male or Female?

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* 2. Please indicate your age group?

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* 3. Which Health and Social Care Trust area are you located in?

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* 4. Do you have dependants?

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* 5. If Yes, please provide details?

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* 6. Carers NI definition of a carer is: Someone who provides unpaid care by looking after an ill, frail or disabled family member, friend or partner.
Do you consider yourself to have caring responsibilities currently?

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* 7. Have you been a carer in the past?

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* 8. Are you, or have you been a carer for one or more person? Please select for the options below:

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* 9. Who do you currently care for, or have cared for in the past?

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* 10. What type of support so you provide?

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* 11. What has been the impact of caring on you and your family?

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* 12. What carers support do you avail of?

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* 13. What types of support would be beneficial to you are a carer?

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