Carers Strategy Survey to Young Carers

Northamptonshire Carers Partnership is working on a new Carers Strategy for Northamptonshire...

...in order to help plan services and support for Carers for the future and your voice be part of this, please take a few minutes to fill out this survey

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* 1. How many people do you care for?

4 or more

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* 2. How many hours a week on average do you spend caring?

Up to 20 hours

Up to 40 hours

50 hours +

Other (please specify)

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* 3. Please tell us why the person/s you care for needs your help and support? Please select all that apply.

Autism

Dementia

End of life

Frailty

Learning disability

Mental Health

Physical disability

Sensory impairment

Addiction

Other

Please tell us more....

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* 4. Please tell us if you have any support needs yourself. Please select all that apply.

Autism

Dementia

End of life

Frailty

Learning disability

Mental health

Physical disability

Sensory impairment

Addiction

other

none

Please tell us more about your support needs...

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* 5. Have you had a Carers assessment? Please select all that apply.

Yes - Young Carer's assessment

Yes - Adult Carer's assessment

Yes - Parent Carer's assessment

Not sure/don't know

Please use this space to tell us more...

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* 6. As a Carer, where have you been able to find help and support for yourself? Please select all that apply.

Doctor/health services

Social services

Family/friends

Northamptonshire Carers

Other carers groups/organisations

Charities

Community groups

Education provider

Religious group

other

I have not been able to find the help or support I need

I do not need any support or services

Please use this space to tell us more...

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* 7. Have you found it easy or difficult to get the support you need as a Carer?

Very easy

Easy

Neither easy nor difficult

Difficult

Very difficult

Please use this space to tell us more...

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* 8. Please tell us how important the following are to you.

	Extremely important	Very important	Somewhat important	Not so important	Not at all important
Time for yourself/time away from your caring role	Time for yourself/time away from your caring role Extremely important	Time for yourself/time away from your caring role Very important	Time for yourself/time away from your caring role Somewhat important	Time for yourself/time away from your caring role Not so important	Time for yourself/time away from your caring role Not at all important
Support with your physical health	Support with your physical health Extremely important	Support with your physical health Very important	Support with your physical health Somewhat important	Support with your physical health Not so important	Support with your physical health Not at all important
Support with your mental health	Support with your mental health Extremely important	Support with your mental health Very important	Support with your mental health Somewhat important	Support with your mental health Not so important	Support with your mental health Not at all important
advice on benefits and finances	advice on benefits and finances Extremely important	advice on benefits and finances Very important	advice on benefits and finances Somewhat important	advice on benefits and finances Not so important	advice on benefits and finances Not at all important
Planning, including for an emergency and/or the future	Planning, including for an emergency and/or the future Extremely important	Planning, including for an emergency and/or the future Very important	Planning, including for an emergency and/or the future Somewhat important	Planning, including for an emergency and/or the future Not so important	Planning, including for an emergency and/or the future Not at all important
More information about the services available for Carers (such as Northamptonshire Carers)	More information about the services available for Carers (such as Northamptonshire Carers) Extremely important	More information about the services available for Carers (such as Northamptonshire Carers) Very important	More information about the services available for Carers (such as Northamptonshire Carers) Somewhat important	More information about the services available for Carers (such as Northamptonshire Carers) Not so important	More information about the services available for Carers (such as Northamptonshire Carers) Not at all important
Practical support including home adaptations and technology	Practical support including home adaptations and technology Extremely important	Practical support including home adaptations and technology Very important	Practical support including home adaptations and technology Somewhat important	Practical support including home adaptations and technology Not so important	Practical support including home adaptations and technology Not at all important
Knowing the person you care for is safe and receiving the support they need	Knowing the person you care for is safe and receiving the support they need Extremely important	Knowing the person you care for is safe and receiving the support they need Very important	Knowing the person you care for is safe and receiving the support they need Somewhat important	Knowing the person you care for is safe and receiving the support they need Not so important	Knowing the person you care for is safe and receiving the support they need Not at all important

Please tell us about any other support that you think would help...

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* 9. Have you been involved in the planning and developing of care for the person/s you look after?

Yes

Partly

Not aware of a plan being created

Please tell us more about this...

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* 10. During this planning and development of care did you feel that you were...

	Yes	No	Not applicable - I was not involved
Listened to	Listened to Yes	Listened to No	Listened to Not applicable - I was not involved
Respected	Respected Yes	Respected No	Respected Not applicable - I was not involved
Valued	Valued Yes	Valued No	Valued Not applicable - I was not involved

Please tell us more about this....

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* 11. Please tell us how your caring role has changed any of the following....

	Very positive change	Some positive change	No change	Some negative change	Very negative change	Not applicable
Your physical health	Your physical health Very positive change	Your physical health Some positive change	Your physical health No change	Your physical health Some negative change	Your physical health Very negative change	Your physical health Not applicable
Your mental health	Your mental health Very positive change	Your mental health Some positive change	Your mental health No change	Your mental health Some negative change	Your mental health Very negative change	Your mental health Not applicable
Your financial circumstances	Your financial circumstances Very positive change	Your financial circumstances Some positive change	Your financial circumstances No change	Your financial circumstances Some negative change	Your financial circumstances Very negative change	Your financial circumstances Not applicable
Time for yourself	Time for yourself Very positive change	Time for yourself Some positive change	Time for yourself No change	Time for yourself Some negative change	Time for yourself Very negative change	Time for yourself Not applicable
Your day to day life	Your day to day life Very positive change	Your day to day life Some positive change	Your day to day life No change	Your day to day life Some negative change	Your day to day life Very negative change	Your day to day life Not applicable
Your relationships	Your relationships Very positive change	Your relationships Some positive change	Your relationships No change	Your relationships Some negative change	Your relationships Very negative change	Your relationships Not applicable
Your employment	Your employment Very positive change	Your employment Some positive change	Your employment No change	Your employment Some negative change	Your employment Very negative change	Your employment Not applicable
Your education	Your education Very positive change	Your education Some positive change	Your education No change	Your education Some negative change	Your education Very negative change	Your education Not applicable

Please tell us more...

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* 12. Are you currently in paid employment/ self employment/ education/ voluntary work/ retired? Please select all that apply.

Paid employment - full time

Paid employment - part time

Self employment - full time

Self employment - part time

Education

Voluntary work

Retired

Unable to work due to caring responsibilities

Not currently in paid employment/ education/ voluntary work

Please tell us more about this...

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* 13. Please use this space to tell us:-
- Any concerns that you have as a Carer for the future
- any change that would improve services
- any further comments

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* 14. How do you prefer to make contact with people and services? Please select all that apply.

Telephone

Post

In person

Online

Other (please specify)

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* 15. Please tell us your age and the age/s of the people you care for.

	15 or under	16-18	19-25	26-45	46-64	65-84	85 or over	prefer not to say
Your age group	Your age group 15 or under	Your age group 16-18	Your age group 19-25	Your age group 26-45	Your age group 46-64	Your age group 65-84	Your age group 85 or over	Your age group prefer not to say
The age group/s or the person/s you care for	The age group/s or the person/s you care for 15 or under	The age group/s or the person/s you care for 16-18	The age group/s or the person/s you care for 19-25	The age group/s or the person/s you care for 26-45	The age group/s or the person/s you care for 46-64	The age group/s or the person/s you care for 65-84	The age group/s or the person/s you care for 85 or over	The age group/s or the person/s you care for prefer not to say

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* 16. Please tell us your gender and the gender of the person/s you care for.

	female	Male	Trans woman	Trans man	Non-binary	Other	Do not know	Prefer not to say
Your gender	Your gender female	Your gender Male	Your gender Trans woman	Your gender Trans man	Your gender Non-binary	Your gender Other	Your gender Do not know	Your gender Prefer not to say
The gender of the person/s you care for	The gender of the person/s you care for female	The gender of the person/s you care for Male	The gender of the person/s you care for Trans woman	The gender of the person/s you care for Trans man	The gender of the person/s you care for Non-binary	The gender of the person/s you care for Other	The gender of the person/s you care for Do not know	The gender of the person/s you care for Prefer not to say

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* 17. What is your sexual orientation?

Heterosexual

Gay or lesbian

Other

Do not know

Prefer not to say

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* 18. what is your relationship to the person/s you care for?

I am their parent

I am their sibling

I am their spouse/partner

I am their son/daughter

Other family member

I am their friend.neighbour

other

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* 19. How would you describe your ethnicity?

White British, English, Welsh, Scottish, Northern Irish or British

White irish

White Gypsy or Irish Traveller

Any other white background

White and Black Caribbean

White and Asian

Any other mixed or multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Black African

Black Caribbean

Any other Black, African or Caribbean background

Arab

Any other ethnic group

Prefer not to say

Carers Strategy Survey to Young Carers

Northamptonshire Carers Partnership is working on a new Carers Strategy for Northamptonshire...

Question Title

* 1. How many people do you care for?

Question Title

* 2. How many hours a week on average do you spend caring?

Question Title

* 3. Please tell us why the person/s you care for needs your help and support? Please select all that apply.

Question Title

* 4. Please tell us if you have any support needs yourself. Please select all that apply.

Question Title

* 5. Have you had a Carers assessment? Please select all that apply.

Question Title

* 6. As a Carer, where have you been able to find help and support for yourself? Please select all that apply.

Question Title

* 7. Have you found it easy or difficult to get the support you need as a Carer?

Question Title

* 8. Please tell us how important the following are to you.

Question Title

* 9. Have you been involved in the planning and developing of care for the person/s you look after?

Question Title

* 10. During this planning and development of care did you feel that you were...

Question Title

* 11. Please tell us how your caring role has changed any of the following....

Question Title

* 12. Are you currently in paid employment/ self employment/ education/ voluntary work/ retired? Please select all that apply.

Question Title

* 13. Please use this space to tell us:-- Any concerns that you have as a Carer for the future- any change that would improve services- any further comments

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* 14. How do you prefer to make contact with people and services? Please select all that apply.

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* 15. Please tell us your age and the age/s of the people you care for.

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* 16. Please tell us your gender and the gender of the person/s you care for.

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* 17. What is your sexual orientation?

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* 18. what is your relationship to the person/s you care for?

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* 19. How would you describe your ethnicity?

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* 20. What types of services and support do Carers need for the future?

* 13. Please use this space to tell us:-
- Any concerns that you have as a Carer for the future
- any change that would improve services
- any further comments