ࡱ> 8:567M bjbj== 88WW>lHHH\```8R` ^`l\,(dd"dddsisisi$T tZіHsihsisisiіkddkkksidHdksikdkGt:x,hHydd P {Rn>\\`iXx y0,xRΚiΚyk\\   This questionnaire should be answered by the ILF User. If that person needs help to complete this questionnaire, the answers should be given from their point of view not from the person completing it. Please tick clearly inside one box.  1Are you:MaleFemale2Where in the UK do you live:ScotlandNorthern IrelandWalesEngland Please use this box to add any comments:   1Were you aware that you were going to have a review meeting?YesNo2Were you fully aware of what the meeting was for? YesNo3 Did you feel able to ask questions during the visit?YesNo4Did you feel the ILF assessor treated you with respect and dignity? YesNo5Did the ILF assessor listen carefully to you?YesNo 6Has the amount of care you need changed since our initial visit?YesNo7Did you needMore careLess care8Has the amount of money you get from the ILF changed as a result of the revisit meeting?YesNo9Do you feel the amount of time taken between applying and receiving youre offer was satisfactory?YesNo Please use this box to add any comments:   1Do you refer to the User Leaflets that we sent you when you need clarification about the ILF?YesNo 2 Overall, are you satisfied with the service you receive?YesNo3Are our letters to you written in a way you can understand?YesNo 4Have you ever telephoned the ILF?YesNo Do you know who your caseworker is? YesNoDo you feel they listen to you? YesNoDo you feel they treat you with respect and dignity? YesNoWere you happy with the outcome of the telephone call? YesNo5Have you ever had to make a complaint?YesNoWere you satisfied with the way your complaint was dealt with?YesNo6Which statements do you agree with about the ILFFriendlyProfessionalEfficientInefficientAccessibleBureaucraticSupportiveConfusing7Do you think the ILF consults with its users?YesNo 8Do you think the ILF should consult with its users?YesNo 9Would you like to be involved in our consultation process? YesNoIf yes, please give us your details  Please use this box for any further comments   Please read the statements and tick the box that most applies to you. 1Money from the ILF has enabled me to be more independentYes definitelyYes to some extentNot reallyNo2 Money from the ILF has enabled me to do more activitiesYes definitely Yes to some extentNot reallyNo3Money from the ILF has improved my quality of lifeYes definitelyYes to some extentNot reallyNo4Money from the ILF has given me more choice and control over my care arrangementsYes definitelyYes to some extentNot reallyNo5Money from the ILF has helped to pay for support with the following -Personal hygieneCleaningPlease tick as many as you want CookingEatingToiletingMobilityShoppingGoing outHigher educationHobbiesSporting activitiesEmployment  1 Was the agreement form written in a way you could understand?YesNo2Did you have help sorting out who was going to provide care for you?YesNoIf so, who helped you to sort out your care arrangementsFamilyFriendsSocial workerOther 3Do you feel you had enough help sorting out your careYesNo 4Do you understand the responsibilities that go with accepting an ILF award?YesNo5Do you feel these responsibilities were clearly explained to you?YesNo Please use this box to add any comments:   Please use this box to add any comments:  Please return this form to: User Liaison Manager Independent Living Fund PO Box 7525 Nottingham NG2 4ZT PAGE  PAGE 7 Creating choice for disabled people User Review Questionnaire Part 1 - about you Part 2 - our review visit Part 5 - your money Part 4 - measuring outcomes Part 3 - your experience of our service Part 6 - further comments \] |}9<QTqt5CJ$OJQJ\^J5CJ,OJQJ\^J5B* CJ$OJQJ\aJ$phAY0JmHnHu0J j0JUjOJQJUOJQJ$jCJOJQJUmHnHsH u+tu d$If2$$Ifl4#$64 la$If$a$h $$Ifa$$Ifj$$Ifl\-#s 64 laof`WWW` $$Ifa$$If d$If$$Iflֈ-!#64 lamgg^^^g $$Ifa$$If$$Ifl4ֈ-!#64 lam8gg^^^g $$Ifa$$If$$Ifl4ֈ-!#64 la    mgg^^^g $$Ifa$$If$$Ifl4ֈ-!#64 la  mLgg^^^g $$Ifa$$If$$Ifl4ֈ-!#64 la !"#$%&mgggggg$If$$Ifl4ֈ-!#64 la&'(QRSTUVWXYmkkeeeeeeee$If$$Ifl4ֈ-!#64 la YZ\^_a $$Ifa$$IfX$$Ifl#$064 la kee\\\e $$Ifa$$If$$Ifl4Eֈ|D!#``b64 lakee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b64 lakeee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b64 lakee\\\e $$Ifa$$If$$Ifl4Dֈ|D!#``b``64 la489<=keee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 la=>?@ABCDkee\\\e $$Ifa$$If$$Ifl4Dֈ|D!#``b``64 laDEFGHIJKkee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 laKLNkDeee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b64 lakee\\\e $$Ifa$$If$$Ifl4Dֈ|D!#``b``64 lakee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 lak ee\\\\e $$Ifa$$If$$Ifl4Dֈ|D!#``b``64 la)-.12k4ee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 la23456789kee\\\e $$Ifa$$If$$Ifl4Eֈ|D!#``b``64 la9:;<=>?@kee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 la@ACPUZ[`efkee\\\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 la fghijklmkee\\\e $$Ifa$$If$$Ifl4Dֈ|D!#``b``64 lamnopqrstkee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 latuwkee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#b64 lakee\\\e $$Ifa$$If$$Ifl4Eֈ|D!#``b``64 lakee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 lakee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#  b  64 laT X Y \ ] kee\\\e $$Ifa$$If$$Ifl4Cֈ|D!#b64 la] ^ _ ` a b c d kee\\\e $$Ifa$$If$$Ifl4_ֈ|D!#``b``64 lad e f kiiccccccc$If$$Ifl4ֈ|D!#  b  64 la   $If $$Ifa$$a$X$$Ifl#$064 la      kb\bbbb$If $$Ifa$$$Ifl4Eֈ,!#``'64 la      kb\bbbb$If $$Ifa$$$Ifl4Cֈ,!#  '64 la         k bb\bbbb$If $$Ifa$$$Ifl4Cֈ,!#  '64 la      ! kb\bbbb$If $$Ifa$$$Ifl4Dֈ,!#```'64 la! 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