Stroke affects the whole family, not just the survivor. At Different Strokes we want to support partners, family and friends better, and we would value your help. The survey takes around 10 to 15 minutes. Your answers are confidential and anonymous unless you choose to share your details at the end.

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1. What is your relationship to the stroke survivor? (Required.)

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2. Some people don’t identify with the term ‘carer’. Do you use a term such as a ‘carer’, ‘caregiver’ or ‘unpaid carer’ to describe your role in supporting your loved one following their stroke? (Required.)

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3. If we had to use one word/phrase to describe the role of caring for a relative, what do you think it should be?

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4. Do you live with the person who had a stroke? (Required.)

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5. What is your age range? (Required.)

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6. How much has the stroke affected each of the following? (Required.)

  Not at all A little Quite a lot A great deal
Your emotional wellbeing
Your relationship with the survivor
Your work
Your finances
Your social life and friendships
Your own health

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7. Have you felt isolated, or that people don't understand? (Required.)

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8. What has been the hardest part for you?

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9. Have you received support for yourself, separate from the survivor? If yes, where from? (Required.)

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10. Have any charities, services or organisations been particularly helpful to you as a partner, family member or friend? Which ones, and what made them helpful?

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11. Which types of support would you find helpful?

Please tick all that apply. (Required.)

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12. What do you think would genuinely help you right now?

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13. We create booklets and communications with input from people with lived experience. What is the biggest thing you have learnt, or wish someone had told you when your loved one had a stroke?

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14. Are you happy for Different Strokes to use your response to question 13 for future communications, anonymously? (Required.)

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15. Our new booklets for family, friends and carers are coming soon. Would you like us to email you when it is ready? (Required.)

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16. Would you like to be part of a focus group on this in future, if we can go ahead with more work in this area? (Required.)

Contact details (all optional) If you would like us to contact you, please provide your details below.

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17. Full name:

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18. Email Address:

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19. Your Address (optional):

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20. How can we communicate with you (Please tick all that apply): (Required.)

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