Carers Leeds service questionnaire 2018

To help us develop and improve our services we would like you to complete and
return this questionnaire. You can fill it in anonymously but if you would like to be
entered into a prize draw to win a £30 shopping voucher please add your contact
details at the end.

Please tell us about yourself:
Do you have any health problems? (tick all that apply)
Stress / AnxietyLow Mood / DepressionDifficulty SleepingPhysical health problem e.g. COPD, diabetes
Please tell us about which services you have used and what you think of them.
What kind of information or support has been most helpful to you? (tick all that apply)
Being able to talk about my caring situationMeeting other carersGetting help with welfare benefitsGetting a Carers AssessmentGetting information about other services

THANK YOU for taking the time to help us.

This questionnaire submission page will close on the 31.07.18

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