My Experience of Waiting for a Package of Care

1. This survey is being completed by: (select one option)

A service user A family member on behalf of the service user A carer on behalf of a service user

2. What age is the service user receiving the Home Care service? (select one option)

18-64 years 65+ years Prefer not to say

3. How would you describe the location of your home? (select one option)

Urban Rural Remote

4. Which Trust does your experience relate to?

Belfast Health and Social Care Trust (BHSCT) Northern Health and Social Care Trust (NHSCT) South Eastern Health and Social Care Trust (SEHSCT) Southern Health and Social Care Trust (SHSCT) Western Health and Social Care Trust (WHSCT) Other (please specify)

Other

Section 1: About You...