Carers - Triangle of Care Questionnaire

Please choose the service you visited:

Please answer the following questions which help us to identify feedback from specific groups or areas we serve.

1. Please enter your postcode (if you do not have a fixed abode please type N/A)

2. Is this feedback about a child with a Statement of Special Educational Needs (SEND)?

Yes No

3. Were you identified as a carer/family member/supporter in the early stages of your cared for engaging with our services?

Yes No

4. Did you feel listened to and valued as a carer/family member/supporter?

Yes Yes, to some extent No

5. If you answered no, please provide further information

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Yes Yes, to some extent No

7. If you answered no, please provide further information

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Yes Yes, to some extent No

9. If you answered yes, to some extent or no, please provide further information

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Very good Good Neither good nor poor Poor Very poor Don't know

11. What do we do well?

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Yes No

12. What could we do better?

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13. We routinely collect information on age, gender, ethnicity and sexual orientation to ensure that we are receiving feedback from a wide range of people about our services. The following questions help us to monitor if we are hearing from everyone. Please choose a response to continue:

I'm happy to answer these questions I don't want to answer these questions

14. What is your age group?

18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75+ Under 18

15. To which of these ethnic groups would you say you belong?

16. Gender?

Female Male Transgender Prefer not to say I prefer to self-describe

17. I describe myself as:

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Heterosexual or Straight Gay or Lesbian Bisexual Other sexual orientation not listed Do not know or not sure I prefer not to answer I prefer to self-describe

19. I describe myself as:

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