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You recently received support from Penderels Trust with the set up of your support package.

In order for us to monitor the effectiveness of our work, we would appreciate you taking a few minutes to complete the following questions.

Your comments will be treated in strict confidence.

Thank you for your time.

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* 1. The Independent Living Adviser (ILA) was able to see me at a time convenient to me.

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* 2. The visit took place on time (or if late or re-arranged, an explanation was given why).

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* 3. The ILA was clean and tidy in their appearance.

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* 4. I was involved in all the decisions about how my care is provided and who provided that support.

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* 5. The information given to me was provided without jargon and was simple to understand.

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* 6. I felt able to ask the ILA questions and was able to understand their answers.

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* 7. I was provided with the information I required to meet my support outcomes within the budget provided.

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* 8. My language, cultural and religious needs and preferences were considered when planning how I will be supported.

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* 9. The information was in a format suitable to my needs and situation but if not, I was offered an alternative.

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* 10. I was treated as an individual and my privacy was respected.

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* 11. I feel the visit will help me make an informed decision about using direct payments.

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* 12. I have remained independent and living in my own home.

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* 13. I feel suitably informed around safeguarding my wellbeing and know where to access support if required.

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* 14. At the end of the visit, I was left a Comments and Complaints form.

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* 15. Are there any improvements we could make to our service?

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* 16. What is your name?

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* 17. What is your address?

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* 18. What is your telephone number?

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* 19. What is your e-mail address?

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