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2017
March
V
Vesta Market Research
Vesta Market Research
0%
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Hi There,
We are setting up a service for families affected by a loved one's drug or alcohol use. You could be a parent, husband, wife, brother or sister, partner or anyone that is important to you.
You are invited to participate in our survey and we are hoping to get as many responses as we can from people in a similar situation to you. The questions are about you, your loved one and what would be important to you as a service. It shoud take no more than 30 minutes to complete (this depends on how much detail you give).
Your participation in this study is completely voluntary. There are no risks associated with this project. However, if you feel uncomfortable answering any questions, you can leave that particular question out. If possible, it would be fantastic to hear your views and learn a bit about you.
Your survey responses will be strictly confidential and data from this research will be dealt with on an anonymous basis. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact us by email at
[email protected]
.
Thank you so much for your time. There is an option at the end to leave your email address if you wish to be added to our mailing list for updates on the service. You can also access our facebook page on xxxx.
All About You.
What do you identify your gender as?
-- Select --
Man
Woman
Transgender
Please state
What is your age?
0-15
16-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
What is your highest level of education?
Degree or equivalent
Higher Education
A Level or equivalent
GCSE or equivalent
Other Qualifications
How would you best describe your employment status at present?
Employed
Unemployed
Retired
Other
About Your Loved One
The person who's drug or alcohol use I am concerned about is my...
Spouse
Civil Partner
Cohabiting partner
Son/daughter (incl. adopted)
Step-son/daughter
Foster child
Son-in-law/daughter-in-law
Parent/guardian
Step-parent
Foster parent
Parent-in-law
Brother/sister (incl. adopted)
Step-brother/sister
Foster brother/sister
Brother/sister-in-law
Grandchild
Grandparent
Other relative
Other non-relative
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