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Professionals Survey for input into development of groups for those who may be socially isolated
1.
Are you a professional working with... (please tick all that apply)
People living with dementia
People living with physical illness
People living with mental illness
People who are bereaved
People who have refugee status
Elderly people
Carers of people living with dementia
Carers of people living with physical illness
Carers of people living with mental illness
Carers of the elderly
Other (please specify)
2.
Are you... (please tick all that apply)
A signposting service and
would
signpost to a new charity set up running groups
A signposting service but
would not
signpost to a new charity set up running groups
A referring service and
would
refer to a new charity set up running groups
A referring service and
would not
refer to a new charity set up running groups
Neither a signposting nor a referring service (your input is still welcome)
Other (please specify)
3.
Is there any client group within our scope (reducing risk of social isolation) which you feel would benefit from an activity group which is not currently provided in their area, or paused due to pandemic? (Please specify)
4.
Is there a geographical area you feel would particularly benefit from the development of this type of provison? (Please specify)
5.
Is there any other input you would like to give, for us to consider when arranging our groups?
6.
If you would like us to contact you in order to discuss further, or if you would like us to be aware of your service (some groups may be referral only), please leave whatever details you would like us to have here. Please feel free to leave any or all boxes blank.
Name
Service
Area Covered
Email Address
Phone Number
Current Progress,
0 of 6 answered