Borders Carers' Centre - Respite / Short Break Survey
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1.

The Borders Carers Centre is considering setting up a Centre for short breaks/respite and have asked Community Enterprise to help reseach this idea more fully. The centre would give carers the opportunity to take a break away from home while the peson they care for is being looked after. As well as offering short breaks to all carers they also plan to offer additional learning and employment opportunities to younger carers. They are keen to hear your views about whether this would be useful and what the services should look like. We would be grateful if you would take a few minutes to answer the following questions. If you have any queries or difficulties, please contact us at info@communityenterprise.co.uk. Thank you.

1. Please tell us a little about yourself. Which area do you live in?

Please tell us a little about yourself. Which area do you live in? Scottish Borders East Central Scotland	West Central Scotland Highlands and Islands	Outwith Scotland
Other (please specify)

2. What age group are you in?

What age group are you in? Under 14

14-18

19-45

46-65

Over 65

3. And are you:

And are you: Male

Female

4. How much time do you spend looking after the person / people you care for?

How much time do you spend looking after the person / people you care for? Less than 7 hours/week 7-20 hours/week	21-45 hours/week More than 45 hours/week
Other (please specify)

5. Have you been caring at this level for;

Have you been caring at this level for; less than 12 months

1-2 years

2-5 years

More than 5 years

6. As a carer, do you currently receive any support from external agencies eg a care worker or carers' centre?

As a carer, do you currently receive any support from external agencies eg a care worker or carers' centre? Yes	No
If so, what is the nature of that support

7. Given the opportunity, would you take a break from your role as a carer?

Given the opportunity, would you take a break from your role as a carer? Yes

Not sure

8. If you answered 'yes' to Q9, how often would you ideally like to take a break?

If you answered 'yes' to Q9, how often would you ideally like to take a break? Twice a year	Once a year	Once every two years	Frequent short breaks
Other (please specify)

9. Ideally, how long would you prefer the break to be?

Ideally, how long would you prefer the break to be? A weekend

A week

10 days

2 weeks

Not sure

10. What, if anything, would stop you from using a short break / respite centre?

What, if anything, would stop you from using a short break / respite centre?

11. Where in particular would you prefer the centre to be ~(please tick all that apply)?

Where in particular would you prefer the centre to be ~(please tick all that apply)? Galashields Peebles Kelso	Melrose In a rural village In a small town	On the coast Outwith the Borders
Other (please specify)

12. How much would you be willing to pay for a short break / respite?

	Full Board (with activities)	Half board (with activities)	Full Board (no activities)	Half board (no activities)
A weekend	How much would you be willing to pay for a short break / respite? A weekend Full Board (with activities)	Half board (with activities)	Full Board (no activities)	Half board (no activities)
A week	A week Full Board (with activities)	Half board (with activities)	Full Board (no activities)	Half board (no activities)
Two weeks	Two weeks Full Board (with activities)	Half board (with activities)	Full Board (no activities)	Half board (no activities)

13. Would you need help to pay for this short break / respite?

Would you need help to pay for this short break / respite? Yes

Not sure

14. If yes, where would you hope to get financial help?

If yes, where would you hope to get financial help? Family	Friends	Local authority	Small grants
Other (please specify)

15. Please indicate below which kind of carer you are. You will be directed to the appropriate page of the survey. Once you have completed that page, please skip forward to the end of the survey and

Please indicate below which kind of carer you are. You will be directed to the appropriate page of the survey. Once you have completed that page, please skip forward to the end of the survey and Adult Carer

Young Carer between 14 and 18

Young Carer beteween 12 and 14

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Borders Carers' Centre - Respite / Short Break SurveyExit this survey

1.

1. Please tell us a little about yourself. Which area do you live in?

2. What age group are you in?

3. And are you:

4. How much time do you spend looking after the person / people you care for?

5. Have you been caring at this level for;

6. As a carer, do you currently receive any support from external agencies eg a care worker or carers' centre?

7. Given the opportunity, would you take a break from your role as a carer?

8. If you answered 'yes' to Q9, how often would you ideally like to take a break?

9. Ideally, how long would you prefer the break to be?

10. What, if anything, would stop you from using a short break / respite centre?

11. Where in particular would you prefer the centre to be ~(please tick all that apply)?

12. How much would you be willing to pay for a short break / respite?

13. Would you need help to pay for this short break / respite?

14. If yes, where would you hope to get financial help?

15. Please indicate below which kind of carer you are. You will be directed to the appropriate page of the survey. Once you have completed that page, please skip forward to the end of the survey and

Borders Carers' Centre - Respite / Short Break Survey
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