Thank you for your interest in contributing to the new St. Michael's House Strategy 2022-2026.  The information you provide will be used in the strategy but you will not be identified. 
The last 15 months were heavily dominated by the impact of Covid-19. In your response,  please feel free to comment on your experience during Covid-19 but please also try and consider what is important for the organisation in more 'normal' times.

In this survey, the term "family member" refers to the service user that attends/receives services from St. Michael's House.

Please complete each question below.  The participant may edit their answers up until the survey is submitted.  The survey also has a "save and resume" function to support questionnaire completion.  

*please note there is no save function on completed questionnaires so do please take a screenshot of your answers should you wish to keep a copy*

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* 1. What services does your family member receive from St. Michael's House?  Please tick all that apply.

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* 2. What age is your family member?

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* 3. On a scale of 1 to 10, where 1 is a low level of support and 10 is a high level of support, what level of support do you feel your family member needs in his/her daily life?

1 (Low Level) 5 10 (High Level)
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i We adjusted the number you entered based on the slider’s scale.

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* 4. Living Arrangements
Where does your family member live?

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* 5. Living arrangements 
Please comment;

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* 6. Relationship with St. Michael's House: 
Which of the following statements best describes how you feel about your relationship with St. Michael's House?

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* 7. Communication from and with St. Michael's House.  On a scale of 1 to 10 where 1 is a very poor experience and 10 is an excellent experience, how good is St. Michael's House at keeping you informed about matters that affect your family member?

1 (Poor) 5 10 (Excellent)
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i We adjusted the number you entered based on the slider’s scale.

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* 8. Communication (continued)

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* 9. Planning:  On a scale of 1 to 10 where 1 is a very poor experience and 10 is an excellent experience, how good is St. Michael's House in helping you plan for your family members life?

1 (Poor) 5 10 (Excellent)
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i We adjusted the number you entered based on the slider’s scale.

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* 10. Planning (continued)

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* 11. Well-being & Health:  On a scale of 1 to 10 where 1 is a very poor experience and 10 is an excellent experience, how good is St. Michael's House in supporting your family member's well-being and health?

1 (Poor) 5 10 (Excellent)
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i We adjusted the number you entered based on the slider’s scale.

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* 12. Well-being and Health (continued)

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* 13. What current service benefits you most in continuing to provide care for your family member? (e.g.) Respite services, Therapeutic inputs, Residential service, Day service Link hours, Leisure Centre/Swimming Pool

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* 14. What additional service would make a significant improvement to the quality of your or your family's life? (e.g.) Respite services, Therapeutic inputs, Residential service, Day service, Link hours, Leisure Centre/Swimming Pool.

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* 15. Continuing from Question 14, do you have any ideas on new supports or services that could be developed that would assist you and/or your family member?

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* 16. The things that concern me most for my family member for the future are

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* 17. Have you any other comments to add not covered in any question above?

0 of 17 answered
 

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