About the Questionnaire

This questionnaire is a guide, to help you tell us your story.
 
We will not share your name or who you are with anyone.
 
If you would like to remove your story from the project, you can do this up to 7 days after have given us your completed questionnaire. It is ok to do this and we won’t ask you why.

This is for the Restraint, Seclusion and Segregation (RSS) Project, led by Advonet and CHANGE.

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Tell us about you

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* 1. Do you have...

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* 2. Where did you experience restraint, seclusion or segregation?

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* 3. When did you experience restraint, seclusion or segregation?

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* 4. What happened to you and who was involved?

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* 5. Why do you think it happened?

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* 6. How did you feel before it happened?

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* 7. How did you feel when it was happening?

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* 8. What happened after it was over?

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* 9. How did you feel after?

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* 10. What changes could be made to make care safer for people?

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* 11. What could the government do to make things better?

Consent

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* 12. If you are happy for us to use include your story in the project, please tick the box.

If you have any questions, please ask us by emailing rssproject@advonet.org.uk.

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