Family Feedback Survey on Digital Social Care Records

1. What is your name?

2. What is your relation to the individual in care?

(Required) Spouse or Partner Parent Sibling Child Grandchild Cousin Relative Friend Other

3. What is the name of the care provider your loved one uses?

4. How long has your loved one been in care with their current provider?

(Required) Less than 6 months 6 months to 1 year 1 year to 3 years More than 3 years

Introduction