Full Name

Email Address

Phone Number

Address

Date

1) Have you ever worked in social care before? 1) Have you ever worked in social care before? Yes No

If you answered yes what role did you do and what was your reason for leaving? If you answered yes what role did you do and what was your reason for leaving?A) HoursB) PayC) Lack Of TansportD) Child Care IssuesE) Weekend WorkingF) Career OptionsG) Prefer Not To Say

2) What do you think is involved in social care?

3) Have you ever considered working in social care before? 3) Have you ever considered working in social care before? Yes No

If you answered no why is this? If you answered no why is this?A) HoursB) PayC) Lack Of TransportD) Child Care IssuesE) Weekend WorkingF) Career OptionsG) Prefer Not To Say

4) If you could choose a Rota, which hours would you prefer to work? 4) If you could choose a Rota, which hours would you prefer to work?A) Mornings 7:00am till 12:30amB) Evenings 4:00pm till 9:30pmC) Spilt shifts both am and pm in condensed patternD) Mornings 8am till 1:30pmE) Evenings 5pm till 10:30pm

5) Which weekend working hours would you choose? 5) Which weekend working hours would you choose? A) No Weekends B) Alternate Weekends C) Weekends Only

6) Have you ever been a user of New Directions community services such as Reablement and Crisis Response? 6) Have you ever been a user of New Directions community services such as Reablement and Crisis Response? Yes No

7) Would you like further information about our team and the support we provide to the community of Sefton? 7) Would you like further information about our team and the support we provide to the community of Sefton? Yes No

If so how would you like to receive this information? If so how would you like to receive this information? A) Phone B) Email C) Face to Face