BBEMI services questionnaire
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About you

ACCESS TO BBEMI SERVICES QUESTIONAIRE
This questionnaire has been designed to measure the impact of BBEMI in the community and we thank you for taking the time to fill in the questionnaire. Your participation is highly valued. The questions in this section are voluntary but the more information you provide then the more we can learn about our customers’ needs and your views on our services.

1. What is your age?

What is your age? 16-18

19-24

25-34

35-44

45-54

55-64

65+

2. Are you

Are you male

female?

3. Were you born in the UK?

Were you born in the UK? Yes

4. If you were not born locally, what year did you move here?

If you were not born locally, what year did you move here? Year

5. Do you have children?

Do you have children? Yes

6. Do you have a disability?

Do you have a disability? Yes

7. Have you had direct experience of mental health issues?

Have you had direct experience of mental health issues? Yes

8. Do you have difficulties speaking, reading & writing English?

Do you have difficulties speaking, reading & writing English? Yes

9. How many people live in your house?

How many people live in your house? Number

10. Do they include (tick as many as apply)

Do they include (tick as many as apply) Spouse

Children

Parents (including in-laws)

11. Do you have any other relatives (other than those already live with you) living in Barnsley?

Do you have any other relatives (other than those already live with you) living in Barnsley? Yes

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BBEMI services questionnaireExit this survey