Section 1 - About You

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* 1. Which part of Redbridge do you live in? Please give the first part of your postcode i.e. IG1

Section 2 – Adult Social Care

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* 2. Have you used Adult Social Care in the last 2 years? If no, skip to Section 3.

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* 3. Which services have you used? Tick all that apply:

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* 4. Other:

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* 5. How satisfied were you with the support you received?

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* 6. Please explain your response:

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* 7. How easy was it to access adult social care?

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* 8. Please explain your response:

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* 9. What improvements would make the biggest difference?

Section 3 - Hospital Discharge & Aftercare

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* 10. Have you or the person you care for been discharged from hospital in the last 2 years? If no, skip to Section 4.

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* 11. How well was the discharge planned?

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* 12. Please explain your response:

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* 13. Was clear information given about the aftercare e.g. medication, follow-up appointments, who to contact, equipment/home support etc.

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* 14. Please explain your respoonse:

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* 15. After leaving hospital, was the support needed actually provided?

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* 16. If support was lacking, what was missing? Tick all that apply:

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* 17. Other:

Section 4 - Managing Long-Term Conditions

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* 18. Do you have one or more long-term health condition? If no, skip to Section 5.

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* 19. If yes, please give details below, e.g. diabetes, arthritis, heart condition, mobility issues, mental health etc.:

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* 20. Do you care for someone with a long-term condition?

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* 21. How well supported do you feel with your long-term condition/ as a carer?

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* 22. Please explain your response:

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* 23. Which services do you rely on? Tick all that apply:

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* 24. Other:

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* 25. Have you experienced any barriers? Tick all that apply:

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* 26. Other:

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* 27. What would help you to manage your condition better or carry out your role as a carer? ( Please give details)

Section 5 – Final Thoughts

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* 28. What changes would you like to see in health and social care in Redbridge?

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* 29. Would you like to be involved in future Age UK campaigns/focus groups in future?

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* 30. If yes, please give your name and contact details:

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* 31. Any other comments?

Demographics (answers are anonymous)

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* 32. Gender

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* 33. Age

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* 34. Ethnicity

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* 35. Household

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* 36. Accommodation

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* 37. Physical Health

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* 38. Mentsl Health

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* 39. Employment

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