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All In Short Breaks Consultation 2019 - Parent Carer Survey
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Does your child/young person have a disability?
Yes
No
1.
Question 1.
What age is your child or young person?
under 3 years
4 - 7 years
8- 11 years
12-14 years
15 -18 years
over 18
2.
Question 2.
Does your child/young person have an 'All In' registration number?
Yes
No
Unsure
3.
Question 3.
If you have an 'All In' number for your child/young person how did you find the 'All In/Short Breaks' application process?
1 Very Easy
2 Easy
3 I had to persevere to complete it
4 Really difficult to complete it
5 I would have appreciated some help to complete it
6 My child was not accepted for 'All In'
N/A
4.
Question 4.
Does your child or young person currently attend an 'All In' activity? e.g. Country Treks, Tickwood, Empathy, London Road Sports Club?
Yes
No
*
5.
Question 5.
If your child/young person isn't currently accessing 'All In' is there any particular reason why?
Required
- Required.
1 Nothing suitable in our area
2 Cost
3 Unable to meet my child's needs
4 Current provision does not offer activities my child would like to take part in
5 My child is able to access mainstream provision
6 Other Reason, please tell us below
N/A
Comment:
This is required
6.
Question 6.
Do you feel that the current 'All In/Short Breaks' programme provides appropriate activities for your child or young person?
Yes
No
N/A
Please give details here:
This is required
7.
Question 7.
If you have accessed the 'All In' provision, do you feel the sessions helped your family;
Feel less isolated
Spend more time with siblings
Have a break from caring role
Gain confidence to try activities that are not in the 'All In' programme
Better able to care for the family
Make new friends or connect with others
N/A
Comments:
This is required
8.
Question 8.
If you have accessed the 'All In' provision, do you think these sessions have helped your child;
Be more active
Learn new skills
Improve communication
Display more positive behaviours
Improve social skills
Make new friends
Improve concentration
Encourage independence
N/A
Comments:
This is required
9.
Question 9.
Are there any particular activities your child or young person would like to participate in?
1 Arts and Culture
2 Sport
3 Swimming
4 Martial Arts
5 Horse Riding
6 Forest School/Outdoors Activities
7. Organisations e.g. Cubs/Scouts/Brownies/Guides
8 Other
If other, please state what:
This is required
*
10.
Question 10.
Does your child/young person take part in any Arts/Cultural activities outside school?
Required
- Required.
Drama
Dance
Music
Visual Arts
Would like to take part but unable to access
None
Other
If other, please state what:
This is required
*
11.
Question 11.
How far do you travel to take part in 'All In' sessions?
Required
- Required.
Less than 5 miles
More than 5 miles
More than 10 miles
20 miles or over
N/A
12.
Question 12.
How did you hear about the 'All In' programme?
All In brochure
Word of mouth
Via social media
Via school
Via a professional e.g. health or social services?
13.
Question 13.
If you have any further comments please add them here:
Or if you prefer please email them to kate@i-gnition.co.uk