Parent/Carer name:

Address:

Town:

County:

Postcode:

Telephone:

Email:

Child's name:

Age:

School:

Any other information you wish to share?:

BACPAC is setting up 4 new focus groups working alongside professionals to improve services for disabled children.  Can you let us know if you would be happy to join any of these focus groups?

 

Education: yes no

Leisure: yes no

Transition: yes no

Transport: yes no

We would like to hear if something has been an issue for you in Education/Transition/Leisure/Transport, please tell us about it in the boxes below, the more information we gather the better

 

Education:

Leisure:

Transition:

Transport:

We would also like to hear if something has worked well for you in Education/Transition/Leisure/Transport, please tell us about it below, as we like to share good practice. (We won’t pass on your personal details just the ideas/good practice you have told us about, unless we ask you first)

 

Education:

Leisure:

Transition:

Transport:

Are you aware that Bolton Council has to have a Short Breaks Statement by Law? yes no

 

Would you like to know more about this? yes no

Have you visited BACPAC Website? yes no

 

If yes please tell us what you used it for / if you found it useful / or if you have any ideas of something you would wish to add to the site

BACPAC is proposing to offer skills-building courses for parents which will include developing confidence, and having your say

 

Would you be interested in attending a course like this? yes no

 

If yes please expand:

 

Is there any other training for parents you would like to be available in Bolton in future? e.g. Sign Language/Person Centred Planning/Building confidence/Knowing your rights/ positive parenting programme/ basic first aid etc:

 

 

If you could change one thing that affects your disabled child and your family, what would it be?

Would you like to be involved in BACPAC? yes no

 

If yes please tell how you could help in the box below:

 

e.g. attend meetings/ represent BACPAC at focus group meetings/represent BACPAC at local forums/ be a committee member i.e. secretary

Do you know where your local children’s centre is? yes no

 

If yes which one?

Do you use your local Children’s centre? yes no

 

If yes why? If no why?

Can we pass on your details to the Children’s Centre staff so they can get in touch? yes no

 

 

Thank you for taking the time to complete this questionnaire we really do appreciate the information that you have shared with us, from BACPAC

Please click on the submit button to submit the form