Wirral Carers Support Services for Carers Survey

	1	2	3	4	5
Quality of life	Quality of life 1	Quality of life 2	Quality of life 3	Quality of life 4	Quality of life 5
Reduce social isolation; promote opportunities for social inclusion	Reduce social isolation; promote opportunities for social inclusion 1	Reduce social isolation; promote opportunities for social inclusion 2	Reduce social isolation; promote opportunities for social inclusion 3	Reduce social isolation; promote opportunities for social inclusion 4	Reduce social isolation; promote opportunities for social inclusion 5
Support, information & opportunity to access community services and share experiences	Support, information & opportunity to access community services and share experiences 1	Support, information & opportunity to access community services and share experiences 2	Support, information & opportunity to access community services and share experiences 3	Support, information & opportunity to access community services and share experiences 4	Support, information & opportunity to access community services and share experiences 5
Improve confidence, maintain & improve independence	Improve confidence, maintain & improve independence 1	Improve confidence, maintain & improve independence 2	Improve confidence, maintain & improve independence 3	Improve confidence, maintain & improve independence 4	Improve confidence, maintain & improve independence 5
Assist coping with caring responsibilities	Assist coping with caring responsibilities 1	Assist coping with caring responsibilities 2	Assist coping with caring responsibilities 3	Assist coping with caring responsibilities 4	Assist coping with caring responsibilities 5

Quality of life

Quality of life 1

Quality of life 2

Quality of life 3

Quality of life 4

Quality of life 5

Reduce social isolation; promote opportunities for social inclusion

Reduce social isolation; promote opportunities for social inclusion 1

Reduce social isolation; promote opportunities for social inclusion 2

Reduce social isolation; promote opportunities for social inclusion 3

Reduce social isolation; promote opportunities for social inclusion 4

Reduce social isolation; promote opportunities for social inclusion 5

Support, information & opportunity to access community services and share experiences

Support, information & opportunity to access community services and share experiences 1

Support, information & opportunity to access community services and share experiences 2

Support, information & opportunity to access community services and share experiences 3

Support, information & opportunity to access community services and share experiences 4

Support, information & opportunity to access community services and share experiences 5

Improve confidence, maintain & improve independence

Improve confidence, maintain & improve independence 1

Improve confidence, maintain & improve independence 2

Improve confidence, maintain & improve independence 3

Improve confidence, maintain & improve independence 4

Improve confidence, maintain & improve independence 5

Assist coping with caring responsibilities

Assist coping with caring responsibilities 1

Assist coping with caring responsibilities 2

Assist coping with caring responsibilities 3

Assist coping with caring responsibilities 4

Assist coping with caring responsibilities 5

Question Title

* 3. Please tell us how this has helped you

Question Title

* 4. If Yes, which service(s) were you informed about

Social Services

Community groups

Financial

Education/Training

Employment

Health & Safety

Other (please specify)

Question Title

* 5. How would you rate our service

Excellent

Very Good

Good

Poor

Very Poor

Question Title

* 6. How would you rate our staff

Excellent

Very Good

Good

Poor

Very Poor

Question Title

* 7. Could our service be improved in any way

Question Title

* 8. Would you recommend this service to others

Yes

Question Title

* 9. If no please tell us why

Question Title

* 10. Would you like any information on WIRED's other services

Shopmobility Service

Patient Advice & Liaison Service

Wirral SENDIASS

Third Sector Community connector Service

Payroll Services

Community Matters Early Help

No thank you

Wirral Carers Support Services for Carers

Please tell us how we did by completing our short feedback survey - Thank you

Question Title

* 1. How did you hear of our service

Question Title

* 2. Which of the following categories has the Carers Support Service had the most impact on you (please score 1=low & 5=high)

Question Title

* 3. Please tell us how this has helped you

Question Title

* 4. If Yes, which service(s) were you informed about

Question Title

* 5. How would you rate our service

Question Title

* 6. How would you rate our staff

Question Title

* 7. Could our service be improved in any way

Question Title

* 8. Would you recommend this service to others

Question Title

* 9. If no please tell us why

Question Title

* 10. Would you like any information on WIRED's other services

Question Title

* 11. Please type your full name in the box below.

Question Title

* 12. Please type your email address in the box below.

Question Title

* 13. Please type your mobile phone number in the box below.