Personalisation Non User Survey
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1. Default Section
1
. Have you heard of personalisation?
Have you heard of personalisation?
Yes
No
2
. Have you heard of any of the following? (Please tick all those you have heard of)
Have you heard of any of the following? (Please tick all those you have heard of)
Personal services
Individual budgets
Personal budgets
Direct payments
User led services
3
. If you have heard of personalisation, how would you describe it to others?
If you have heard of personalisation, how would you describe it to others?
4
. Are you in receipt of Social Services support?
Are you in receipt of Social Services support?
Yes - go to question 5
No - go to question 6
5
. If you answered 'yes' to question 4, what kind of social services support do you receive?
If you answered 'yes' to question 4, what kind of social services support do you receive?
6
. What in your opinion would be the main benefits of personalisation?
What in your opinion would be the main benefits of personalisation?
7
. What in your opinion would be the main challenges or problems of personalisation?
What in your opinion would be the main challenges or problems of personalisation?
8
. What help or guidance would you require to use personalisation?
What help or guidance would you require to use personalisation?
9
. If you would like to receive more information about personalisation please give your details.
If you would like to receive more information about personalisation please give your details.
Name:
Address 1:
Address 2:
City/Town:
ZIP/Postal Code:
Email Address:
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