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Short Break Feedback Form

We hope you and your family enjoyed the funded Short Break. These partially funded short breaks are only possible through the support of our partners. To continue to provide such opportunities we need to provide them with feedback. 

We therefore request and highly value your feedback and please request you complete the form below. 

 

It also will help us make long term improvements and all suggestions are welcome.​

 

The feedback and support you provide us does make a difference and through our associate program we are able to give first priority to subscribed associates who provide feedback . 

Your Details

Are you an existing associate of Parent and Carer Alliance

Names of Children who attended

Is this the first time you have attended a funded short break?
Out of a scale of 1 to 10, with 1 being never and 10 being extremely isolated/lonely. Within the last month have you felt isolation and/or loneliness due to the needs of your child?
How did you feel after the break?
Out of a scale 1 to 10 with 10 being excellent. How much has your family enjoyed the activity today
Out of a scale of 1 to 10, with 10 being very positive. What difference does accessing a short break make to your family?
Out of a scale of 1 to 10, with 10 being very positive. Do you feel improvements to your physical and/or mental health from being able to access events like this?

Consent to Share

I have read and understood the Parent and Carer Alliance Privacy Policy, click here to read the Privacy Policy

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By proceeding and submitting form, I consent to my personal data being collected and used as stated in the Privacy Policy, and in this Notice:

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The Parent and Carer Alliance wish to collect and use this personal information for the following reasons:

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  • To enable you to sign up for services, advocacy, training, information events, social activities and outings.

  • To provide you with support and guidance that is tailored to your needs.

  • To provide relevant future events/training and services by understanding your personal situation and experiences.

  • To help us to demonstrate need both locally and nationally to help the Parent and Carer Alliance work effectively with other organisations to improve the services provided.

  • To access funding sources to develop what we can offer to our members and to offer reduced price support.

  • To request feedback from you about what you think about any service or support provided to you by the Parent and Carer Alliance  e.g. feedback to the National Lottery of the impact of advice and support that you have received as a direct result of their providing funding, which may involve them contacting you.

  • To track information about the use of our website including information obtained via cookies to develop the website.

You can withdraw your consent to share your information at any time without detriment by email to info@parentandcareralliance.org.uk.

Do You Consent to Share Data?

Thank you for your feedback and for helping us to keep enabling the funding for these Short Breaks

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CONTACT

Get in Touch

If you are being worn down by the challenges in getting the support your child needs and deserves – we may be able to help.

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To request support please fill in our dedicated support forms located under the Advice Service tab.

 

Email Us on:​

info@parentandcareralliance.org.uk 

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Send a message

Please send us a message here for any general enquiries. Please note that this form is not for requesting support, please go to the relevant form on this website.

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