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Home Support Survey

This survey is being carried out by Coventry City Council, in line with the UK GDPR Data Protection Act 2018. The data controller is Coventry City Council. The information collected in this survey will be used by Coventry City Council officers to help improve the delivery of the home support services. We may share the results of the survey with our partners when appropriate. All information produced will be anonymised. The data processor is Bang the Table. Information is stored on servers in the United Kingdom and Bang the Table gives an undertaking never to disclose the survey questions or your responses to others without permission. More information on how we handle personal information and your rights under the Data Protection legislation can be found in our privacy notice.

1.  

What type of home support have you, or do you currently receive? Please tick all that apply

2.  

How long have you been receiving home support?

3.  

I receive home support to assist me with: please tick all that apply

4.  

Are the home support services you receive meeting your needs?

5.  

 Are there services you would like to receive through home support that you are not receiving?

If yes, please list below
7.  

Are your home support visits scheduled at a time that is convenient for you?

8.  

. How often do you get a home support visit?

9.  

Are you supported by

11.  

In a typical week, how many different  Home Support Care Staff do you see?

12.  

How is your care funded?

13.  

Overall, how would you rate the home support service you receive?

14.  

Would you be interested in being involved in any follow up activities, such as a focus group, telephone interview or further survey? 

About you

15.  

Are you completing this survey as

16.  

How would you describe yourself?

17.  

What is your main spoken language?

18.  

What is your age?

19.  

How would you describe your ethnic background? (please select one)

20.  

Which part of the city do you live in?