Neuro Therapy Centre - Carers Survey 2021
Your answers to these questions are really important to us as they help us identify your needs and ways that we can respond to them. We will also use your responses to demonstrate to our funders the ways in which we support Carers, and to try to secure further funds for the Centre.

The Centre is here for People with Neurological Conditions (PwNCs), but it is also here for YOU, their Carer. As you work through this questionnaire, please think about YOUR needs as well as those of the person you care for, thank you.

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Name
Gender *
D.O.B *
MM
/
DD
/
YYYY
Address
Postcode *
GP Surgery
Employment Status *
Who do you care for? *
1. Which local authority do you come under? *
If you have selected ‘Other’, we would really appreciate you making a comment so we can identify your Local Authority.
2. How often do you attend the Neuro Therapy Centre?
Once per week
2-4 times per week
5-7 times per week
Once or twice per month
Less than once per month
I never attend the Centre
Virtually/Online
At the Centre
3. Have you been offered a  'Carers Assessment' by your Local Authority?
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