Hi. Thank you for taking the time to complete this survey. The results will allow us to prove if there is a need for Christian support services and the areas most in need of this support. 1. Is it yourself or someone else who needs extra support with everyday tasks? Myself A friend A family member Other 2. Would the person needing support be interested in being supported by a Christian support provider Yes No 3. Which type of accommodation support would you/they prefer? Supported living Domiciliary care Residential care Other 4. Which local authority do you live in? 5. Does the person requiring support also currently live in this authority? Yes No 6. Is this the local authority that you/they would require support in? Yes No 7. Does the individual requiring support currently have an appointed social worker? Yes No 8. If yes, which authority is their social worker from? 9. Would you/they also be interested in day services? Yes No 10. When is the individual likely to be requiring care and support? As soon as possible 2019 2020 2021 2022 Later 11. Any other comments If you would like to be kept up to date with the progress of this survey, please enter your email address here: Would you like to receive our monthly newsletter? Yes No