Being the carer for somebody with an addiction,

Question Title

* 1. How long have you been a carer for the individual with an addiction?

Less than 1 year

1 to 2 years

2 to 5 years

5 to 10 years

Over 10 years

Question Title

* 2. In addition to the individual with addiction, how many other people do you provide any support to? [Other family with health needs, school runs, neighbours, helping out with childcare, chores, financial. If you support somebody with children include the number of children]

Nobody Else

1 other

2 to 4 others

More than 5

Question Title

* 3. How many people within your network of family or close friends do you believe have issues with substances/ addictions? Tick or provide number

1 [that’s more than enough]

2-5

6-10

11+

Other (please specify)

Question Title

* 4. Has your caring role impacted your quality of life?

Yes

Question Title

* 5. If yes, please give some examples of how

Limited ability to work Impacted your mental health.

Rescripted your ability to access leisure activities, holidays, nights out, family time,

Financial hardship Impacted your physical health.

Strained relationships with other family or friends.

Most of the above

All of the above

Other (please specify)

Question Title

* 6. Do you feel being a carer for somebody with an addiction makes you more isolated?

Yes

Question Title

* 7. Do you feel stigmatized due to your loved one’s addiction?

Yes

Question Title

* 8. Outside of specialised support do you feel comfortable talking about your loved one’s addiction.

Yes

Question Title

* 9. What do you think would improve your quality of life? Please rank the following with 1 would make the most difference and 6 least difference to your quality of life.

Question Title

* 10. What do you feel are the biggest issues stopping your loved one from giving up substances? Please rank the following with 1 would make the most difference and 6 least difference to your loved one’s substance use.

Being the carer for somebody with an addiction,

Question Title

* 1. How long have you been a carer for the individual with an addiction?

Question Title

* 2. In addition to the individual with addiction, how many other people do you provide any support to? [Other family with health needs, school runs, neighbours, helping out with childcare, chores, financial. If you support somebody with children include the number of children]

Question Title

* 3. How many people within your network of family or close friends do you believe have issues with substances/ addictions? Tick or provide number

Question Title

* 4. Has your caring role impacted your quality of life?

Question Title

* 5. If yes, please give some examples of how

Question Title

* 6. Do you feel being a carer for somebody with an addiction makes you more isolated?

Question Title

* 7. Do you feel stigmatized due to your loved one’s addiction?

Question Title

* 8. Outside of specialised support do you feel comfortable talking about your loved one’s addiction.

Question Title

* 9. What do you think would improve your quality of life? Please rank the following with 1 would make the most difference and 6 least difference to your quality of life.

Question Title

* 10. What do you feel are the biggest issues stopping your loved one from giving up substances? Please rank the following with 1 would make the most difference and 6 least difference to your loved one’s substance use.

Question Title

* 11. Feel free to add any additional comments, should you wish