Covering Letter: Have Your Say on Day Activities ELCCF is an independent user and carer-led organisation that helps people to ‘have a say’. The Community Action Research Team is a part of ELCCF, run by service users and carers who have designed this questionnaire and will carry out this consultation on behalf of East Lothian Council. East Lothian Council has sent out this questionnaire on our behalf. Accompanying this letter is a questionnaire you can fill in anonymously, a prepaid envelope, and a leaflet about our organisation. Although primarily for those in the 16-65 age group, the views of every disabled person will be appreciated. We want to find out about the day activities you take part in outside your home - social, recreational, educational or vocational - and any you might want to do. We want to gather views from service users and carers on the types of support they need. The questionnaire is designed for you and any unpaid carers, such as family members or friends, to fill in together. Please send it back to us by April 26. Copies of the questionnaire are also available to download at www.elccf.org. After the response is received, a report will be put to the planning process to ensure your voice is heard in helping to improve services. If you would like to talk further about the questionnaire, please choose the option to take part in either a one-to-one interview by phone or in person, or as part of a group (travel expenses will be paid). Any personal details you send in will not be disclosed to anyone. The more questionnaires we receive the more accurate a picture we will get about day activities and changing needs. We will post the conclusions and observations from this project on our website www.elccf.org. Alan Brown, Convener, ELCCF. East Lothian Community Care Forum, c/o Tynepark House, Poldrate, Haddington, East Lothian EH41 4DA. 01620 822 212. email: info@elccf.org. Scottish charity NoSCO29791. The Questionnaire: Your help is needed... and it’s important. This questionnaire is primarily for people from 16-65 with a physical disability or sensory impairment. You can fill in this questionnaire with help from your carer - a family member or friend - or you can contact us and we will arrange for someone to visit you and help you fill it in. If you wish, please add another sheet. Please mark options to the questions. Telling us more in the spaces provided will really help. Please answer honestly. Remember, you can fill this in anonymously. Q1. Which town or village do you stay in, or near: I live in or near………………………………………………………………. Q2. What kind of activities, outside the home, do you do during the day/evening/weekend? (D/E/W) (Please mark): Sports & Leisure Voluntary work Social Employment Arts & culture Education & Learning None (If ticked, answer questions Q4b/c, Q6 and Q7b/c) Other What activities do you do? (please say) Hours per week D/E/W ___________________________________________________ (for example) Art class 2hrs E ___________________________________________________ Q3. A Care Plan is worked out with a Social Worker. Have day activities been discussed as part of your Care Plan? (Please mark) Yes No Don’t know I don’t have a Care Plan Q4a. Are the activities you take part in what you really want to do? (Please mark) Yes No Q4b. Are there activities you feel you are able to do but don’t have the opportunity? ___________________________________________________ (Please say what you think): ___________________________________________________ Q4c. What might help? (Mark only the three most important to you.) transport accessible buildings need support to go knowing who to ask more flexible care times that fit in with me access to funding from my Care Plan (Self Directed Support) another reason ___________________________________________________ (Please give more detail about your answer): ___________________________________________________ Q5. Who provides the activities you take part in? ___________________________________________________ (Please say): ___________________________________________________ Q6. How do/ would the activities make a difference to your life? (Mark only the three most important to you.) They help me to be more independent It’s for the company & friendship I just enjoy doing them They have improved my health I feel more confident They help me develop skills and interests Anything else. (Please say below): ___________________________________________________ ___________________________________________________ Q7a. How did you find out about the activities you participate in? Care professional Library Online Family carer Local media Word of mouth Other (Say below): ___________________________________________________ ___________________________________________________ Q7b. How easy is it for you to find out about activities? (Please mark) Easy Quite easy Quite difficult Difficult Q7c. What’s best way - for you - to find out: Website Library Booklet Care professional Talking newspaper Local media Other (Say below): ___________________________________________________ ___________________________________________________ Q8. For people who use services based at (Please circle): Prestonpans Resource Centre, or, The Trinity Centre, Edinburgh How many days a week do you attend? (Please circle): 1 2 3 4 5 What activities do you do? (Please say below): ___________________________________________________ ___________________________________________________ How does the centre benefit you? (Please say below): ___________________________________________________ ___________________________________________________ Q9. Final equalities question for all participants to answer. (Please circle answers): Gender: Male Female Age: Under 16 16-25 25-45 45-65 Over 65 Ethnic group: White Mixed Race Indian Pakistani Bangladeshi Other Asian (non-Chinese) Black Caribbean Black African Black (others) Chinese Other Thank you very much for taking the time to fill in this Questionnaire. Pease return it to us by April 26. Other formats of this questionnaire are available. Contact ELCCF at the address overleaf. If you would like to say more, we would be happy to meet with you or invite you to a focus group. If so, please fill in this last section. Details will be kept confidential. Further contact form: I would like to tell you or discuss with you in more detail. (Please mark) in a focus group (costs refunded) in a face-to-face chat interview by telephone by email My name and address is: ………………………………………………………………………….…… ………………………………………………………………………….…… ………………………………………………………………………….…… Postcode……………………..Tel:……………………………email ……………………… You can return this questionnaire by printing it out and posting it to: Day Activities Questionnaire, East Lothian Community Care Forum, c/oTynepark House, Poldrate, Haddington EH41 4DA. You can also fill in the answers, save the document and return it by email as an attachment to: info@elccf.org Other formats of this questionnaire are available. Call ELCCF on 01620 822 212. ELCCF: Scottish charity No SCO29791.