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This survey is part of a range of activities seeking to include and amplify the views of diverse women ahead of the recommissioning women's support services. Findings will be reported back to commissioners of services to help them consider where gaps in support may be and why, learn from women's ideas on how to better meet their needs and influence the way support is recommissioned in future.   If you feel you need to speak to someone whilst filling in this form or afterwards please email nickala@flourishtogether.org.uk. This survey is aimed at women directly rather than the agencies that support them.

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* 1. Where is your place of birth?

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* 2. Are you a British Citizen?

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* 3. What is your current Postcode?

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* 4. What is your gender?

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* 5. How would you describe your Ethnicity?

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* 6. Which age category do you fall into?

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* 7. Would you describe yourself as having any additional health needs or disability?

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* 8. Have you ever had a criminal conviction?

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* 9. Do you feel you have any language barriers to accessing support?

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* 10. Are you a Single Parent

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* 11. Have you ever needed to access support for the following?

  Yes No Rather not say
Mental Health Support needs
Family or Relationship Breakdown
A difficult Housing situation
Experiencing nuisance or antisocial behaviour
Substance misuse awareness/education or rehabilitation
Burglary/ theft or damage of property
Racial discrimination
Cultural prejudice
Immigration difficulties

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* 12. Have you ever needed to have police involvement or intervention as a result of experiencing any of the above

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* 13. If you have needed to access support for any of the following was it accessible at the time of need?

  Yes - Highly accessible Not really I had some delays in accessing support I never got the support I needed Not applicable 
Mental Health Support needs
Family or Relationship Breakdown
A difficult Housing situation
Experiencing nuisance or antisocial behaviour
Substance misuse awareness/education or rehabilitation
Burglary/ theft or damage of property
Racial discrimination
Cultural prejudice
Immigration difficulties

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* 14. How did you feel about approaching agencies for such support?  Did you feel you could find or access the help you needed?

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* 15. If you have needed to access support in any of the following , how satisfied were you with the support?

  Highly satisfied Somewhat satisfied not satisfied I felt left unsupported I disengaged from the support I never found the support I needed Not applicable
Mental Health Support needs
Family or Relationship Breakdown
A difficult Housing situation
Experiencing nuisance or antisocial behaviour
Substance misuse awareness/education or rehabilitation
Burglary/ theft or damage of property
Racial discrimination
Cultural prejudice
Immigration difficulties

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* 16. If you were to look for support when facing difficulties where would you look first? (Just tick one or two boxes)

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* 17. Where else might you look for support when facing difficulties (Just tick as many boxes as you agree with)

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* 18. Have you any other thoughts or comments on your experience of how to find out about support services? Or methods which would work best?

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* 19. Can you describe a positive experience from accessing support?

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* 20. Have you ideas on how to improve support - where it needs improve most?

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* 21. Has someone you know ever needed to access support for the following?

  Yes No Rather not say Don't know
Mental Health Support needs
Family or Relationship Breakdown
A difficult Housing situation
Experiencing nuisance or antisocial behaviour
Substance misuse awareness/education or rehabilitation
Burglary/ theft or damage of property
Racial discrimination
Cultural prejudice
Immigration difficulties

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* 22. Has someone you know ever needed to have police involvement or intervention as a result of experiencing any of the above?

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* 23. Have you ever needed to access any of the following?

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* 24. If you accessed support, please describe what you find of most benefit from support you accessed and highlight any positive examples of support

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* 25. If you accessed support, please describe examples where things didn’t work so well

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* 26. Have you suggestions or ideas improvements could be made?

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* 27. If you have accessed support in the last 6-9 months have you noticed any changes to the quality or frequency of service during COVID/ the pandemic?  Please share any examples positive and negative.

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* 28. How to you feel about the development of digital or remote support services? Have you accessed, used or needed support remotely or digitally?

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* 29. Overall what do you think are the main issues women face about accessing health services[1]?  [1] Examples…This may include registration with primary care (doctors, Dentists etc) or being able to access specialist health support such as substance misuse or mental health.

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* 30. Are there any ways in which you would like to be further involved in helping influence, shape or help design improvements: (If you have tick YES to any of these options please email nickala@flourishtogether.org.uk so as not to compromise anonymity of this survey and express your interest in being further involved)

HUGE thanks for making the time to take part in this survey, sharing your views, experience and having your say in where priorities are in recommissioning women's services. If you would like to be further involved in future interviews, focus groups or on a panel then please email Nickala@flourishtogether.org.uk and express your interest. Additionally as a thank you for your time, if you wish to be entered into a prize draw please send an email to Nickala at the details above as we want to ensure the surveys remain confidential and don't want any personal contact information included.  No email addresses will be shared with any 3rd party beyond Flourish Together and you will not be added to our mailing list unless you specify you would like to be. You can find out more about our organisation at www.flourishtogether.org.uk.
Prizes in the prize draw include: £100 cash prize,  £50 cash prize and a range of mentoring and support opportunities. 6 names/emails will be selected at random and people will be notified if they have won a prize by 30th October.
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