| Complex Discharge Survey |
| 1 | How did you hear about the Complex Discharge Team?
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| 2 | Did you understand the role of the Complex discharge team?
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| 3 | Were you given information about the Complex Discharge Team when referred?
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| 4 | Please rate the overall support you received from the Complex Discharge Team
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| 5 | What did we support you with?
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| Funding |
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Housing |
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| Care package |
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Early help |
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| Meeting |
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Other (please specify) |
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| 6 | At what stage did the team support you?
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| 7 | How did you find the discharge process and what made it a good/bad experience?
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| 8 | What is most important to you when being discharged?
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| 9 | Is there anything that we could have done differently or could be improved on?
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| 10 | Did the teams support have an impact in your length of stay within Alder Hey, either positive or negative?
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| 11 | Any other comments. E.g. I was upset by the name of complex discharge when used to describe my child's journey.
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| About you |
| 12 | Gender
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| 13 | What age group are you in?
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| 14 | Do you consider yourself to have a disability or long term health problem which effects your day to day activities?
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| 15 | What is your ethnic group? (Please choose one option, and then select the appropriate box to indicate your cultural background).
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| 16 | White
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| 17 | Mixed/multiple ethnic group
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| 18 | Asian or Asian British
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| 19 | Black or Black British
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| 20 | Other ethnic group
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