Advance Planning for People with Bipolar Disorder Guide questionnaire

If you have downloaded and read our Advance Planning for People with Bipolar Disorder Guide we’d like to know what think. This questionnaire will take around 5 minutes and your feedback will allow us to improve the guide. We really appreciate your feedback. Thank you in advance.

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* 1. Using any number from 0 to 10, where 0 is not at all useful and 10 is extremely useful, what number would you use to rate how useful you found the guide?

  10 Extremely useful 9 8 7 6 5 4 3 2 1 0 Not at all useful
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* 2. Using any number from 0 to 10, where 0 is extremely difficult and 10 is extremely easy, what number would you use to rate how easy to review and understand was the guide?

  10 Extremely easy 9 8 7 6 5 4 3 2 1 0 Extremely difficult
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* 3. Has the guide increased your understanding and awareness of the mental capacity act and how you can use advance planning to ensure that the care you receive is appropriate to your needs?

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* 4. Using any number from 0 to 10, where 0 is extremely unlikely and 10 is definitely likely, what number would you use to rate how likely you are to recommend the guide?

  10 Definitely likely 9 8 7 6 5 4 3 2 1 0 Extremely unlikely
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* 5. Having read the guide, do you intend to make or amend your own advance directive to refuse treatment?

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* 6. Having read the guide, do you intend to make or amend your own advance statement of wishes and feelings?

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* 7. Having read the guide, do you intend to make or amend your own Lasting Power of Attorney?

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* 8. Where did you hear about the guide? Please check all that apply:

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* 9. Where do you normally go for information about Bipolar Disorder? Please check all that apply:

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* 10. If you would like to keep in touch with us via our news updates please add your email address here (we will never share your details with anyone else):

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