Mental Health Carer's Survey
The role of the Mental Health carer is often complex and includes support for more than one medical condition. This survey provides an opportunity to profile the support and roles of the carer.
Your profile - this section helps us to understand the role you undertake
Q1.
Are you:
Male
Female
Q3.
Do you live with the person you care for?
Yes
No
What age group you fit into?
Under 18
18 - 64
65 - 74
75 - 84
Over 85
Q4.
How long have you been in the caring role?
Less than 1 year
2 - 5 years
More than 10 years
1 - 2 years
5 - 10 years
Q5.
How regularly do you provide support for the caring role?
Constantly
Up to 5 times a week
Less than once a week
Daily
Up to 3 times a week
Q6.
Has the carer role had an impact on any of these areas?
Q6.1.
Less time for yourself
Q6.2.
Stopped paid work
Q6.3.
Reduced personal time
Q6.4.
More stress
Q6.5.
Suffer from depression
Q6.6.
See less of my friends
Q6.7.
Less social life
Q6.8.
More financial constraints
Q6.9.
Change in role
Q7.
How many people do you care for?
1
2
3
4
5
Q8.
What tasks do you carry out as a carer?
Q8.1.
Personal care e.g. washing
Q8.2.
Accompany appointments
Q8.3.
Phone calls and mail
Q8.4.
Domestic tasks
Q8.5.
Shopping
Q8.6.
Finance
Q8.7.
Holidays
Q8.8.
Company
Q9.
What other commitments do you have?
Q9.1.
Children
Q9.2.
Working full time
Q9.3.
Caring for others
Q9.4.
Working part time
Q9.5.
Studying
Q9.6.
Voluntary work
Q9.7.
Self-employed
Time away from your caring role
Q10.
Are you aware that you are entitled to an assessment of your own needs as a carer?
N/A
Q11.
Do you have any breaks away from your caring role?
Q12.
Did you know that after assessment, you may be entitled to financial help?
Q13.
Would it be useful to have a contact number where emergency care could be arranged?
Q14.
Do you believe you have been given enough information about the services that are available to you?
Q15.
Do you know how to access the support worker service?
Q16.
Have you have had any of these types of contact from you carer worker?
Q16.1.
Telephone
Q16.2.
Visit from home
Q16.3.
Interview away from home
Q16.4.
Attendance at carer's group
Q17.
What are the barriers to you attending a carers group?
Q17.1.
Transport
Q17.2.
Nobody to care for the person I look after
Q17.3.
Venue and location are unsuitable
Q17.4.
Time of group meetings
Q17.5.
Group does not meet my needs
Q17.6.
Group is already established
Q17.7.
Own health issues
Q17.8.
Other people to care for
Q18.
Overall, what do you think of the services you receive?
Excellent
Very Good
Good
Fair
Poor