Wandsworth & Westminster Mind Annual Survey 2016-17

Annual Questionnaire

In order to ensure that we are providing the services and support that people want and need we are asking everyone who used our services in the last year:

·         What you thought of the services and support you received

·         How much those services have helped you

·         What we could have done differently or better

Everyone who completes a questionnaire and gives us their name and contact details will be entered into a raffle and stands a chance of winning a £20 voucher.

The raffle will take place on 5 June and winners will be notified about the results by 12 June at the latest.

The results of the survey will be published by 31 July 2017.

DEADLINE FOR COMPLETION OF THIS SURVEY IS 22 MAY 2017

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* 1. Who currently provides the treatment and care for your mental health?

Other (please specify)

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* 2. Tick the number of times you have used emergency services (Ambulance, A&E, Out of Hours) in the last 12 months.

More than 3 times

2-3 times

Once

None

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* 3. Where do you use WW Mind Services?

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* 4. How did you hear about our services?

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* 5. Your Age: Please tick the box which applies to you

18-24

25-34

35-44

45-54

65+

Prefer not to say

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* 6. Your Gender/Sex: Please tick the box which applies to you

Male

Female

My gender identity is not the same as I was assigned at birth

Prefer not to say

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* 7. Your Sexuality: Please tick the box which applies to you

Bi-sexual

Gay or Lesbian

Heterosexual

Prefer not to say

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* 8. Your Ethnicity: Please tick the box which applies to you.

Black African

Black Caribbean

Black British

Black Other

Arab

Middle Eastern

Chinese

Asian Indian

Asian Pakistani

Asian Bangladeshi

Asian Other

Mixed B&W Asian

Mixed B&W African

Mixed B&W Caribbean

Mixed B&W Other

White British

White Irish

White European

White Other

Prefer not to say

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* 9. Your Religion: Please tick the box which applies to you.

Christian

Muslim

Jewish

Hindu

Sikh

None

Prefer not to say

Other (please specify)

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* 10. Please tick the box that is closest to your experience for each WW Mind service you have used over the past 12 months.

	Excellent	Very Good	Good	Average	Below Average	Poor
Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc)	Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc) Excellent	Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc) Very Good	Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc) Good	Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc) Average	Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc) Below Average	Advice Surgeries (Welfare Benefits/Health Trainers/CAB etc) Poor
Befriending (Flexicare)	Befriending (Flexicare) Excellent	Befriending (Flexicare) Very Good	Befriending (Flexicare) Good	Befriending (Flexicare) Average	Befriending (Flexicare) Below Average	Befriending (Flexicare) Poor
Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc)	Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc) Excellent	Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc) Very Good	Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc) Good	Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc) Average	Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc) Below Average	Community Hubs (Resource Centre/Drop In/training and workshops/internet cafe and IT etc) Poor
Arts (Portugal Prints etc)	Arts (Portugal Prints etc) Excellent	Arts (Portugal Prints etc) Very Good	Arts (Portugal Prints etc) Good	Arts (Portugal Prints etc) Average	Arts (Portugal Prints etc) Below Average	Arts (Portugal Prints etc) Poor
Supported Housing	Supported Housing Excellent	Supported Housing Very Good	Supported Housing Good	Supported Housing Average	Supported Housing Below Average	Supported Housing Poor
Education, Training, Volunteering and Employment (S4V etc)	Education, Training, Volunteering and Employment (S4V etc) Excellent	Education, Training, Volunteering and Employment (S4V etc) Very Good	Education, Training, Volunteering and Employment (S4V etc) Good	Education, Training, Volunteering and Employment (S4V etc) Average	Education, Training, Volunteering and Employment (S4V etc) Below Average	Education, Training, Volunteering and Employment (S4V etc) Poor
Education, Training, Volunteering and Employment (Learning4Life etc)	Education, Training, Volunteering and Employment (Learning4Life etc) Excellent	Education, Training, Volunteering and Employment (Learning4Life etc) Very Good	Education, Training, Volunteering and Employment (Learning4Life etc) Good	Education, Training, Volunteering and Employment (Learning4Life etc) Average	Education, Training, Volunteering and Employment (Learning4Life etc) Below Average	Education, Training, Volunteering and Employment (Learning4Life etc) Poor
Peer Support (Wellbeing Coaching)	Peer Support (Wellbeing Coaching) Excellent	Peer Support (Wellbeing Coaching) Very Good	Peer Support (Wellbeing Coaching) Good	Peer Support (Wellbeing Coaching) Average	Peer Support (Wellbeing Coaching) Below Average	Peer Support (Wellbeing Coaching) Poor
Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc)	Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc) Excellent	Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc) Very Good	Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc) Good	Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc) Average	Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc) Below Average	Physical Health (Active Wellbeing, Get Fit, Stay Active,Walking Group etc) Poor
Support Groups ( Hearing Voices, Self Help Depression etc)	Support Groups ( Hearing Voices, Self Help Depression etc) Excellent	Support Groups ( Hearing Voices, Self Help Depression etc) Very Good	Support Groups ( Hearing Voices, Self Help Depression etc) Good	Support Groups ( Hearing Voices, Self Help Depression etc) Average	Support Groups ( Hearing Voices, Self Help Depression etc) Below Average	Support Groups ( Hearing Voices, Self Help Depression etc) Poor
Service User Involvement (Westminster Forum etc)	Service User Involvement (Westminster Forum etc) Excellent	Service User Involvement (Westminster Forum etc) Very Good	Service User Involvement (Westminster Forum etc) Good	Service User Involvement (Westminster Forum etc) Average	Service User Involvement (Westminster Forum etc) Below Average	Service User Involvement (Westminster Forum etc) Poor
Young People's Services (SW18 Club etc)	Young People's Services (SW18 Club etc) Excellent	Young People's Services (SW18 Club etc) Very Good	Young People's Services (SW18 Club etc) Good	Young People's Services (SW18 Club etc) Average	Young People's Services (SW18 Club etc) Below Average	Young People's Services (SW18 Club etc) Poor
Talking Therapies and Wellbeing Services and Mother Tongue Services	Talking Therapies and Wellbeing Services and Mother Tongue Services Excellent	Talking Therapies and Wellbeing Services and Mother Tongue Services Very Good	Talking Therapies and Wellbeing Services and Mother Tongue Services Good	Talking Therapies and Wellbeing Services and Mother Tongue Services Average	Talking Therapies and Wellbeing Services and Mother Tongue Services Below Average	Talking Therapies and Wellbeing Services and Mother Tongue Services Poor
Community Training (MH Awareness training for community organisations and businesses)	Community Training (MH Awareness training for community organisations and businesses) Excellent	Community Training (MH Awareness training for community organisations and businesses) Very Good	Community Training (MH Awareness training for community organisations and businesses) Good	Community Training (MH Awareness training for community organisations and businesses) Average	Community Training (MH Awareness training for community organisations and businesses) Below Average	Community Training (MH Awareness training for community organisations and businesses) Poor
Social Activities (All Colours Rainbow Club, Wednesday Club etc)	Social Activities (All Colours Rainbow Club, Wednesday Club etc) Excellent	Social Activities (All Colours Rainbow Club, Wednesday Club etc) Very Good	Social Activities (All Colours Rainbow Club, Wednesday Club etc) Good	Social Activities (All Colours Rainbow Club, Wednesday Club etc) Average	Social Activities (All Colours Rainbow Club, Wednesday Club etc) Below Average	Social Activities (All Colours Rainbow Club, Wednesday Club etc) Poor

Other (please specify)

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* 11. Please tell us about anything you think we could have done better or differently or about anything we are not doing that you would like to see us doing in future.

Please specify which service you are commenting on.

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* 12. Outcomes: This is where you can tell us about your health and well-being and the extent to which our services have helped you in the past 12 months or since you started using our the, (if less than a year)

Please tick the box that is closest to your experience.

	Strongly Agree	Agree	Don't Know	Disagree	Strongly Disagree
I am managing my mental health and my well being is improving or has improved.	I am managing my mental health and my well being is improving or has improved. Strongly Agree	I am managing my mental health and my well being is improving or has improved. Agree	I am managing my mental health and my well being is improving or has improved. Don't Know	I am managing my mental health and my well being is improving or has improved. Disagree	I am managing my mental health and my well being is improving or has improved. Strongly Disagree
I am feeling fitter and my physical health and well being has improved.	I am feeling fitter and my physical health and well being has improved. Strongly Agree	I am feeling fitter and my physical health and well being has improved. Agree	I am feeling fitter and my physical health and well being has improved. Don't Know	I am feeling fitter and my physical health and well being has improved. Disagree	I am feeling fitter and my physical health and well being has improved. Strongly Disagree
In general I feel more hopeful and have more control over things in my life	In general I feel more hopeful and have more control over things in my life Strongly Agree	In general I feel more hopeful and have more control over things in my life Agree	In general I feel more hopeful and have more control over things in my life Don't Know	In general I feel more hopeful and have more control over things in my life Disagree	In general I feel more hopeful and have more control over things in my life Strongly Disagree
In general, where I have experienced set-backs or have become unwell I have felt supported and able to recover quicker	In general, where I have experienced set-backs or have become unwell I have felt supported and able to recover quicker Strongly Agree	In general, where I have experienced set-backs or have become unwell I have felt supported and able to recover quicker Agree	In general, where I have experienced set-backs or have become unwell I have felt supported and able to recover quicker Don't Know	In general, where I have experienced set-backs or have become unwell I have felt supported and able to recover quicker Disagree	In general, where I have experienced set-backs or have become unwell I have felt supported and able to recover quicker Strongly Disagree
Overall I feel more connected to people and my relationships with others have improved	Overall I feel more connected to people and my relationships with others have improved Strongly Agree	Overall I feel more connected to people and my relationships with others have improved Agree	Overall I feel more connected to people and my relationships with others have improved Don't Know	Overall I feel more connected to people and my relationships with others have improved Disagree	Overall I feel more connected to people and my relationships with others have improved Strongly Disagree
I am doing more things that I like or which interest me (this could be anything from going out more, having fun, leisure activities, creative arts, attending a class or workshop, volunteering, training or work)	I am doing more things that I like or which interest me (this could be anything from going out more, having fun, leisure activities, creative arts, attending a class or workshop, volunteering, training or work) Strongly Agree	I am doing more things that I like or which interest me (this could be anything from going out more, having fun, leisure activities, creative arts, attending a class or workshop, volunteering, training or work) Agree	I am doing more things that I like or which interest me (this could be anything from going out more, having fun, leisure activities, creative arts, attending a class or workshop, volunteering, training or work) Don't Know	I am doing more things that I like or which interest me (this could be anything from going out more, having fun, leisure activities, creative arts, attending a class or workshop, volunteering, training or work) Disagree	I am doing more things that I like or which interest me (this could be anything from going out more, having fun, leisure activities, creative arts, attending a class or workshop, volunteering, training or work) Strongly Disagree
I have been more involved in activities and developed interests (this could be anything from groups and workshops which have improved knowledge and skills, vocational training, community events and involvement, volunteering, paid or unpaid work)	I have been more involved in activities and developed interests (this could be anything from groups and workshops which have improved knowledge and skills, vocational training, community events and involvement, volunteering, paid or unpaid work) Strongly Agree	I have been more involved in activities and developed interests (this could be anything from groups and workshops which have improved knowledge and skills, vocational training, community events and involvement, volunteering, paid or unpaid work) Agree	I have been more involved in activities and developed interests (this could be anything from groups and workshops which have improved knowledge and skills, vocational training, community events and involvement, volunteering, paid or unpaid work) Don't Know	I have been more involved in activities and developed interests (this could be anything from groups and workshops which have improved knowledge and skills, vocational training, community events and involvement, volunteering, paid or unpaid work) Disagree	I have been more involved in activities and developed interests (this could be anything from groups and workshops which have improved knowledge and skills, vocational training, community events and involvement, volunteering, paid or unpaid work) Strongly Disagree
I feel clearer about where I want to be in my life, I am becoming more independent and am moving towards my goals	I feel clearer about where I want to be in my life, I am becoming more independent and am moving towards my goals Strongly Agree	I feel clearer about where I want to be in my life, I am becoming more independent and am moving towards my goals Agree	I feel clearer about where I want to be in my life, I am becoming more independent and am moving towards my goals Don't Know	I feel clearer about where I want to be in my life, I am becoming more independent and am moving towards my goals Disagree	I feel clearer about where I want to be in my life, I am becoming more independent and am moving towards my goals Strongly Disagree

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* 13. Please tell us about anything you think we could do or did to help improve your experience and recovery

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* 14. Thank you for completing the questionnaire. If you would like to be entered for the raffle please complete the sections below.

Your Name:

Your Address:

Your Phone Number:

Your email:

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* 1. Who currently provides the treatment and care for your mental health?

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* 2. Tick the number of times you have used emergency services (Ambulance, A&E, Out of Hours) in the last 12 months.

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* 3. Where do you use WW Mind Services?

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* 4. How did you hear about our services?

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* 5. Your Age: Please tick the box which applies to you

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* 6. Your Gender/Sex: Please tick the box which applies to you

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* 7. Your Sexuality: Please tick the box which applies to you

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* 8. Your Ethnicity: Please tick the box which applies to you.

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* 9. Your Religion: Please tick the box which applies to you.

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* 10. Please tick the box that is closest to your experience for each WW Mind service you have used over the past 12 months.

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* 11. Please tell us about anything you think we could have done better or differently or about anything we are not doing that you would like to see us doing in future.Please specify which service you are commenting on.

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* 12. Outcomes: This is where you can tell us about your health and well-being and the extent to which our services have helped you in the past 12 months or since you started using our the, (if less than a year)Please tick the box that is closest to your experience.

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* 13. Please tell us about anything you think we could do or did to help improve your experience and recovery

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* 14. Thank you for completing the questionnaire. If you would like to be entered for the raffle please complete the sections below.

* 11. Please tell us about anything you think we could have done better or differently or about anything we are not doing that you would like to see us doing in future.

Please specify which service you are commenting on.

* 12. Outcomes: This is where you can tell us about your health and well-being and the extent to which our services have helped you in the past 12 months or since you started using our the, (if less than a year)

Please tick the box that is closest to your experience.