Shared Lives Service Users Feedback Questionaire

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Closes 30 Sep 2024

Shared Lives Service User Feedback Questionaire

We would like to ask you some questions about how you have found your care. We want to find out what is working well and what could be improved.

1. What type of Support do you have from Shared Lives?
(Required)
2. Your Name (can be anonymous if you prefer)
3. Your carers’ name (can be left blank if you prefer)
4. How are you feeling today?
5. Does your Carer make you happy?
6. Do you do fun things with your carer?
7. Do you spend time with your friends and family?
8. Do you like your bedroom?
9. Is your bedroom decorated how you like it?
10. Do you choose what you want to eat and drink?
(Required)
11. Do you feel safe with your Carer?
12. Does your respite carer make you happy?
13. Do you see your Shared Lives Supervisor regularly?
14. Do they listen and help you?
15. Do you access any other Shared Lives Services?
16. Would you like to access any other Shared Lives Services?
17. If yes please tell us which ones-
18. If you would like to tell us anything else please add it in the box below: