* 1. Are you a carer?

* 2. If you are a carer, who do you care for?

* 3. If you are a carer, do you receive payment for this care?

* 4. If you are a carer, do you make time for yourself?

* 5. If you are a carer, are you aware of support available?

* 6. What are the barriers stopping you from accessing services?

* 7. If you are a carer, and were able to get respite, how would you be most likely to use the time?

* 8. Which category below includes your age?

* 9. Are you male or female?

* 10. Please provide any suggestions that you may have to support yourself as a carer, or somebody that you may know who is a carer.

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