This survey has been developed by Tees Valley Clinical Commissioning Group and Stockton-on-Tees Borough Council, as well as the Parent Carer Forums in Hartlepool and Stockton-on-Tees, to review the Family Support Service that has been provided via Daisy Chain since January 2019.  We would appreciate you taking the time to answer some questions regarding the service to ensure that it is meeting the needs of children and young people with a neurodevelopmental need and their families.

If you have any questions about the survey or would like to speak to someone please email bethany.roberts3@nhs.net.

This survey will run until 31st July 2020.

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* 1. How old is your child?

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* 2. Please select from the below list which disorder most closely resembles the characteristics and traits of your child?

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* 3. Does your child have a diagnosis of a neurodevelopmental disorder?

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* 4. How did you first hear about the Family Support Service?

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* 5. Were you referred to the service by another organisation or did you self-refer?

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* 6. Prior to having a referral made into the Family Support Service can you please outline if and what support you had accessed from elsewhere?

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* 7. Please select the following option that applies for your child’s current education status.

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* 8. Has any of the strategies/interventions that the Family Support Service provided you with been used in your child’s education setting (e.g. visual aids, behaviour techniques) or has the service worked with your child’s school, college, or placement to understand their needs and provide training?

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* 9. Please provide us with some information on any resources that the Family Support Service has provided you with?

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* 10. Have you accessed any online resources provided by the Family Support Service?

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* 11. Please rate if resources have been provided from the Family Support Service, were these effective in providing your child with the support they needed either at home or at school? (1 being very ineffective and 5 being extremely effective)

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* 12. As part of your contact with the Family Support Service, which elements of the service have you or your child accessed? (Please select all that are appropriate).

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* 13. Where have you accessed family drop-in sessions, please select whether you attended these in Hartlepool or Stockton-on-Tees?

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* 14. Please rate how effective you feel the family drop-in sessions have been in supporting you and your child (1 being very ineffective and 5 being very effective), and provide a reason for your rating.

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* 15. If you booked and attended a 1:1 family consultation, please rate how effective you found these sessions? (1 being very ineffective and 5 being very effective) Please also provide a reason for your rating.

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* 16. Where you attended the training for families, please provide a couple of sentences to outline what the training included.

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* 17. Please rate the training sessions to outline how effective you found them to be, and a reason for your rating (1 being very ineffective and 5 being very effective)

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* 18. Please assess the following statements according to your experiences with the service. If you did not attend a specific element of the service as mentioned, please skip the question.

Attending the drop-in sessions and receiving support from other parents/carers and/or staff has increased my confidence in supporting my child.

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* 19. I feel better able to cope with family life as a result of the drop-in sessions.

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* 20. How do you feel that the drop-in sessions could be improved? Is there something you would like to be included that currently is not?

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* 21. Attending the courses & workshops has increased my understanding of my child’s needs.

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* 22. Attending the courses & workshops has increased my confidence in supporting my child/children.

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* 23. Attending the courses & workshops has increased my understanding around strategies to support my child/children.

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* 24. Is there anything else you would like see on the course and workshops that would help increase your knowledge, understanding and confidence?

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* 25. Receiving 1:1 support has increased understanding of the services available to my family.

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* 26. After attending a 1:1 appointment I felt my ability to cope with day to day life had increased.

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* 27. In what ways has your child benefitted from the support opportunities they have received through the family support team? Please tick all that apply.

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* 28. What are your main concerns and fears for your child and how you would you like to see services shaped to address these concerns and fears?

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* 29. In what ways has the Family Support Service benefitted you as a parent/carer and the wider family?

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* 30. How satisfied do you feel with the services offered by the Family Support Service?

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* 31. As we make decisions around the future of the pilot are there any changes within the service that you would like to see?

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* 32. It would help us to understand your answers better if we knew a little bit about you. These questions are completely optional, but we hope you will complete them.

How old are you?

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* 33. What is your gender?

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* 34. Does your gender identity match your sex as registered at birth?

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* 35. Are you currently pregnant or have you been pregnant in the last year?

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* 36. Are you currently…?

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* 37. Do you have a disability, long-term illness or health condition?

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* 38. Please can you tell us what your disability, long-term illness or health condition relates to? (Please tick all that apply)

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* 39. Do you have any caring responsibilities? (Please tick all that apply)

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* 40. Are you currently serving in the UK Armed Forces (this includes reservists or part-time service, e.g.: Territorial Army)? 

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* 41. Have you ever served in the UK Armed Forces?

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* 42. Are you a member of a current or former serviceman or woman’s immediate family / household?

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* 43. What is the first half of your postcode? (For example – SR1 or NE38)

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* 44. Which race or ethnicity best describes you? (Please select one box only)

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* 45. Which of the following terms best describes your sexual orientation?

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* 46. What do you consider your religion to be? (Please select only one)

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