THIS QUESTIONNAIRE WAS CLOSED ON 30/09/2004
Could you help us by completing the following ANONYMOUS questionnaire? The results will help us work with the Drugs and Alcohol Service in Manchester to develop help and support for carers.
You may complete the questionnaire on-line, or if you prefer print it off and send it to:
Dave Williams Manchester Carers Forum Cariocca East Manchester Business Park Manchester M40 8BB
1. How old are you?
2. How old is the person you care for/cared for?
3. Are you
4. How would you describe your Ethnic group?
5. What area of Manchester do you live in?
Please state:
6. Do you, or have you in the past 3 years, cared for someone who had problems because of their:
(please tick one or more boxes)
Alcohol use
Drug use
Misuse of prescribed medicine
None of the above
7. If you have cared or still care for someone with an alcohol or drug problem, what were the difficulties you experienced in your caring role e.g.failure to take prescribed medication, aggression (If none please state NONE).
8. Have you ever used alcohol as a way of dealing with the stresses of your caring responsibility?
yes no
If yes please answer following questions, otherwise please continue to question 9.
8a. How often do/did you have a drink containing alcohol?
8b. How many drinks containing alcohol do you have in a typical day when you are drinking? Note: 1 drink = ½ pint of beer or 1 small glass of wine or 1 single spirit
8c. How often do you have six or more drinks on one occasion?
8d. Have you or the person you care/cared for, ever-sought help about your/their alcohol use?
If Yes, what help? (Please briefly describe the help you received)
8e. What would have made it easier to access help?
9. Is there anything else that you would like tell us?
