Kindred Transition Events for Parents/Carers Autumn 2018
PLEASE COMPLETE A FORM FOR EACH PERSON ATTENDING

Transitions Autumn 2018 sign-up information

Please remember to press the SUBMIT bottom at the end of the survey.

KINDRED WILL CONFIRM RECEIPT BY PHONE OR EMAIL.

If you don't hear from us within 2 working days of submitting please call Mel on 0800 031 5793, Option 1 then 5 - thank you

*all information provided is anonymised before use in reporting to Scottish Government who fund these events.* We will not pass on or sell any of your personal information to third parties. You can read our full privacy policy on our website at http://www.kindred-scotland.org/privacy-policy/

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* 1. Which events would you like to attend? tick all that apply

CHANGE CAN BE POSITIVE -
Supporting your young person with Autism at Transition:
NEW DATE Weds 21st November, 7-9 PM, at Kindred/central Edinburgh

BECOMING AN ADULT AT AGE 16 -
How can GUARDIANSHIP help you look after your young person's future
AND -
Self-directed Support (SDS) and other benefits for your young person
This event has already taken place - but please tick to register interest for any future ones on this topic.

EDUCATION -
your young person's rights at Transition:
This event has already taken place - but please tick to register interest for any future ones on this topic.

PLUS we have ONE TO ONE COACHING available if, as a parent, you are feeling a wee bit overwhelmed by even thinking about where to start! - tick this if you'd like us to get in touch about the individual support we can offer

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* 2. Please provide the following information to help us make you more comfortable on the day

Do you have any accessibility requirements? if yes, please tell us what they are

Do you have have dietary requirements? if yes, please tell us what they are

Will anyone be attending with you? If yes, please provide their name if they are not able to complete their own form. Please note due to data regulations we will not be able to contact them about these events unless they do complete their own sign-up form.

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* 3. Please provide the following details about yourself:

What is your first name?

What is your surname/family name?

What is the first line of your address? *this will only be used to contact you about the events*

What is your postcode?

What local authority area do you live in?

Best contact number *this will only be used to contact you about the events*

Contact email *this will only be used to contact you about the events*

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* 4. Please provide the following details about your child:

Name

Age

School attended (please enter N/A if they have left school)

School year (please enter N/A if they have left school)

What is their diagnosis, or additional need?

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* 5. Do you receive DLA or PIP for your child? tick all that apply

No DLA or Pip

DLA - High, for Care

DLA - Middle, for Care

DLA - Low, for Care

DLA - High, for Mobility

DLA - Middle, for Mobility

DLA - Low, for Mobility

PIP - Enhanced, for Living

PIP - Standard, for Living

PIP - Enhanced, for Mobility

PIP - Standard, for Mobility

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* 6. When you think about your child leaving school do you feel ANXIOUS, STRESSED or WORRIED

Yes - a little

Yes - very

I feel ok

Please tell us a little more about why you feel this

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* 7. When you think about your child leaving school do you feel CONFIDENT around making informed choices about their future (including Self Directed Support)

Not at all

I need to know more

Very confident

Please tell us a little more about why you fell this

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* 8. Do you have any of the following in relation to Self Directed Support (SDS) for your child?

An agreed budget/package

Is you child currently being assessed

My child has no budget/package, or current assessment

If you have a budget/package or are currently being assessed for one please tell us who, if anyone, supported you with it?

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* 9. Has anyone spoken to you about Self Directed Support for your child?

Yes

If yes, please tell us who

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* 10. Has anyone spoken to you before about CHOICES when leaving school? e.g. provision, what your child does next.

Yes

If yes, please tell us who

Kindred Transition Events for Parents/Carers Autumn 2018
PLEASE COMPLETE A FORM FOR EACH PERSON ATTENDING

Transitions Autumn 2018 sign-up information

Question Title

* 1. Which events would you like to attend? tick all that apply

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* 2. Please provide the following information to help us make you more comfortable on the day

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* 3. Please provide the following details about yourself:

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* 4. Please provide the following details about your child:

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* 5. Do you receive DLA or PIP for your child? tick all that apply

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* 6. When you think about your child leaving school do you feel ANXIOUS, STRESSED or WORRIED

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* 7. When you think about your child leaving school do you feel CONFIDENT around making informed choices about their future (including Self Directed Support)

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* 8. Do you have any of the following in relation to Self Directed Support (SDS) for your child?

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* 9. Has anyone spoken to you about Self Directed Support for your child?

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* 10. Has anyone spoken to you before about CHOICES when leaving school? e.g. provision, what your child does next.

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* 11. Is there anything else you feel would it would be useful for us to know?

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* 12. Finally please tell us how you heard of these events? e.g. word of mouth, poster from school, web search etc....

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* 1. Which events would you like to attend? *tick all that apply*

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* 2. Please provide the following information to help us make you more comfortable on the day

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* 3. Please provide the following details about yourself:

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* 4. Please provide the following details about your child:

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* 5. Do you receive DLA or PIP for your child? *tick all that apply*

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* 6. When you think about your child leaving school do you feel ANXIOUS, STRESSED or WORRIED

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* 7. When you think about your child leaving school do you feel CONFIDENT around making informed choices about their future (including Self Directed Support)

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* 8. Do you have any of the following in relation to Self Directed Support (SDS) for your child?

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* 9. Has anyone spoken to you about Self Directed Support for your child?

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* 10. Has anyone spoken to you before about CHOICES when leaving school? e.g. provision, what your child does next.

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* 11. Is there anything else you feel would it would be useful for us to know?

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* 12. Finally please tell us how you heard of these events? e.g. word of mouth, poster from school, web search etc....

* 1. Which events would you like to attend? tick all that apply

* 5. Do you receive DLA or PIP for your child? tick all that apply