Consultation Questionnaire 2019 Question Title * 1. Are you a....... Past/present service user Professional Staff member/volunteer Supporter Other OK Question Title * 2. What is/was most helpful about the service? 1 being the best and 5 being least 1 2 3 4 5 Face to face support/counselling 1 2 3 4 5 Group activities i.e. peer support, bereavement camp and/or workshops 1 2 3 4 5 Social events i.e. Family Funday and Christmas Party 1 2 3 4 5 Workshops to support children around celebration events i.e. Christmas and Mother's Day 1 2 3 4 5 Training for professionals OK Question Title * 3. How important are each of the following when deciding to access/refer? 1 being the most important and 5 being least 1 2 3 4 5 Free services 1 2 3 4 5 Local support 1 2 3 4 5 Waiting times 1 2 3 4 5 Expertise 1 2 3 4 5 Variety of support available OK Question Title * 4. How would you describe the Centre to a friend/colleague who is new to the area? OK Question Title * 5. How far do you feel is acceptable to travel for free support? 1 mile 5 miles 10 miles 20+ miles OK Question Title * 6. Would you like to see more of any of the following services for bereaved children and/or families? Support for the family as a whole via filial therapy and/or specialist group workshops Workshops to help parents/carers support grieving children Social opportunities for parents/carers Online helpline service Telephone advice and/or support OK Question Title * 7. Would charging a fee of say £10 per session be a barrier to accessing/referring support, based on an average of 8 one-to-one sessions per child being provided? Yes No OK Question Title * 8. In your opinion, what could the Centre do to improve the support it provides to children, young people and families? 1. 2. 3. OK Question Title * 9. What else would you like us to know? OK Question Title * 10. To enable us to analyse which area requires what support, could you please complete the first part of your postcode i.e. NG24. ____________ OK DONE