Adult Social Care - Carer's Survey

The needs of carers are a key issue and a high priority for Adult Social Care. Each carer has specific and individual needs. This provides the Adult Social Care services, and all agencies, with a challenge in terms of providing the range of services necessary. This survey is a tool to help identify the needs of the carers.

Being a Carer

Q1.

How long have you been in a caring role?

Q2.

How frequently do you provide support for the person you care for?

Q3.

What tasks do you carry out as a carer?

Impact on your wellbeing

Q4.

As well as your caring role, which of these best fits your circumstances?

Q5.

What has been the impact on your life being a carer?

Q6.

Can you tell us what time you had off either sick or as leave in the last twelve months?

Less than 5 days

5-10 days

10-14 days

More than 14

Time off as annual leave

Time off as sick leave

Q7.

Do you have regular breaks from your carer role?

If you answered YES, please answer Question 8, otherwise go to Question 9

Q8.

Which of these best fits your breaks from the carer's role?

Q9.

Have you had a carer's assessment yourself?

Q10.

Which of these benefits available for carers have you applied for or received?

Q11.

How well have you been supported in using Direct Payments?

Personal details.

 It would help us to improve the services we provide if you would kindly share some personal details with us. This information will not identify you as an individual.

Q12.

Are you:

Q13.

Which age group are you?

Q14.

Do you live with the person you care for?

Q15.

Do you care for more than one person?

Q16.

What would make your role as a carer easier?

Created by KeyPoint survey software