Please enable JavaScript in your browser to complete this form.How are you related to our Volunteer-Led Services? *Service UserNext of KinVolunteerFormer VolunteerWhat services have you used/volunteered for? *BefriendingCare Home Befriending (Southwark Only)Community TransportPlease answer the above questions so you can see the correct survey below If you are filling this on behalf of your next of kin, please answer as themHow long have you been using the service? Less than 3 months3-6 months6 months - 1 year1-2 years2-5 yearsOver 5 years Less than 3 monthsItem #1 Less than 3 months3-6 monthsItem #1 3-6 months6 months - 1 yearItem #1 6 months - 1 year1-2 yearsItem #1 1-2 years2-5 yearsItem #1 2-5 yearsOver 5 yearsItem #1 Over 5 years If both services, choose longest periodHow long have you/ had you been volunteering for the projects? Less than 3 months3-6 months6 months - 1 year1-2 years2-5 yearsOver 5 years Less than 3 monthsItem #1 Less than 3 months3-6 monthsItem #1 3-6 months6 months - 1 yearItem #1 6 months - 1 year1-2 yearsItem #1 1-2 years2-5 yearsItem #1 2-5 yearsOver 5 yearsItem #1 Over 5 years Do you consider yourself to be disabled?YesNoPrefer not to say(if you have a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on your ability to do normal daily activities)Are you currently receiving state benefits?YesNoPrefer not to sayIncluding State PensionWhich state benefits do you receive?Attendance AllowanceBereavement BenefitBereavement Support PaymentCarer’s AllowanceDisability Living Allowance (DLA)Employment and Support Allowance (ESA)Housing BenefitIncapacity BenefitIncome SupportIndustrial Death BenefitIndustrial Injuries Disablement BenefitConstant attendance allowanceJobseeker’s Allowance (JSA)Maternity AllowancePension CreditPersonal Independence Payment (PIP)Severe Disablement AllowanceState PensionStatutory Adoption PayStatutory Maternity PayStatutory Paternity PayStatutory Shared Parental PayStatutory Parental Bereavement PayStatutory Sick PayUniversal Credit (UC)Widow’s Benefit(Options are alphabetical)Are you able to use public transport unaided?YesNoPrefer not to sayAre you able to use public transport with support?YesNoPrefer not to sayFor example if a volunteer Travel Companion were to support you to follow a route, wave down buses and accompany you on the wayWhat is the main reason you can't use public transport?MobilityWorryAbility to follow a routeDementiaOtherPrefer not to sayCould you tell us more about that?Do you use mobility aids?YesNoPrefer not to sayWhat mobility aids do you use?WheelchairSticks/CrutchesWalking FrameCan you get in the back of a two-door car?YesNoPrefer not to sayWould you struggle getting into a high car?YesNoPrefer not to sayDo you feel that Transport staff communicate accurately and in a timely manner about drives?YesNoCould you tell us more about that?How do you feel about the current price? Way too muchA bit too muchJust rightI could pay a bit moreIt's worth a lot more Way too muchItem #1 Way too muchA bit too muchItem #1 A bit too muchJust rightItem #1 Just rightI could pay a bit moreItem #1 I could pay a bit moreIt's worth a lot moreItem #1 It's worth a lot more Is there anything we should know about driving in Lewisham?Are you currently matched to a service user?YesNoAre you currently matched to a befriender?YesNoHow many befriending relationships have you had at one time? Selected Value: 0 Why would you say that?When did you last speak to your befriender?In the last weekIn the last two weeksIn the last monthMore than a month agoWhen did you last speak to your befriendee?In the last weekIn the last two weeksIn the last monthMore than a month agoCould you tell us why it's been over a month?Did you know we have a webform for logging your contacts?YesNoHave you used this webform?YesNoThe befriending contact log can be found at communityconnectionslewisham.org/befriending-contact-logWhat difference has the service made to your life? Very NegativeNegativeNeutralPositiveVery Positive Very NegativeItem #1 Very NegativeNegativeItem #1 NegativeNeutralItem #1 NeutralPositiveItem #1 PositiveVery PositiveItem #1 Very Positive Since starting to volunteer with us have you been... NoYes a bitYes a lotPrefer not to say More active?NoMore active? NoYes a bitMore active? Yes a bitYes a lotMore active? Yes a lotPrefer not to sayMore active? Prefer not to sayFeeling happier?NoFeeling happier? NoYes a bitFeeling happier? Yes a bitYes a lotFeeling happier? Yes a lotPrefer not to sayFeeling happier? Prefer not to sayFeeling healthier?NoFeeling healthier? NoYes a bitFeeling healthier? Yes a bitYes a lotFeeling healthier? Yes a lotPrefer not to sayFeeling healthier? Prefer not to sayGoing out more?NoGoing out more? NoYes a bitGoing out more? Yes a bitYes a lotGoing out more? Yes a lotPrefer not to sayGoing out more? Prefer not to sayFeeling more connected to other people?NoFeeling more connected to other people? NoYes a bitFeeling more connected to other people? Yes a bitYes a lotFeeling more connected to other people? Yes a lotPrefer not to sayFeeling more connected to other people? Prefer not to say Since starting to volunteer with us would you say your NoYes a bitYes a lot Confidence has improved?NoConfidence has improved? NoYes a bitConfidence has improved? Yes a bitYes a lotConfidence has improved? Yes a lotWellbeing has improved?NoWellbeing has improved? NoYes a bitWellbeing has improved? Yes a bitYes a lotWellbeing has improved? Yes a lotSkills have developed?NoSkills have developed? NoYes a bitSkills have developed? Yes a bitYes a lotSkills have developed? Yes a lot Since starting to use the Befriending service have you been.. NoYes a bitYes a lotPrefer not to say More active?NoMore active? NoYes a bitMore active? Yes a bitYes a lotMore active? Yes a lotPrefer not to sayMore active? Prefer not to sayFeeling happier?NoFeeling happier? NoYes a bitFeeling happier? Yes a bitYes a lotFeeling happier? Yes a lotPrefer not to sayFeeling happier? Prefer not to sayFeeling healthier?NoFeeling healthier? NoYes a bitFeeling healthier? Yes a bitYes a lotFeeling healthier? Yes a lotPrefer not to sayFeeling healthier? Prefer not to sayGoing out more?NoGoing out more? NoYes a bitGoing out more? Yes a bitYes a lotGoing out more? Yes a lotPrefer not to sayGoing out more? Prefer not to sayFeeling more connected to other people?NoFeeling more connected to other people? NoYes a bitFeeling more connected to other people? Yes a bitYes a lotFeeling more connected to other people? Yes a lotPrefer not to sayFeeling more connected to other people? Prefer not to say Since starting to use the Community Transport service have you been... NoYes a bitYes a lotPrefer not to say More active?NoMore active? NoYes a bitMore active? Yes a bitYes a lotMore active? Yes a lotPrefer not to sayMore active? Prefer not to sayFeeling happier?NoFeeling happier? NoYes a bitFeeling happier? Yes a bitYes a lotFeeling happier? Yes a lotPrefer not to sayFeeling happier? Prefer not to sayFeeling healthier?NoFeeling healthier? NoYes a bitFeeling healthier? Yes a bitYes a lotFeeling healthier? Yes a lotPrefer not to sayFeeling healthier? Prefer not to sayGoing out more?NoGoing out more? NoYes a bitGoing out more? Yes a bitYes a lotGoing out more? Yes a lotPrefer not to sayGoing out more? Prefer not to sayFeeling more connected to other people?NoFeeling more connected to other people? NoYes a bitFeeling more connected to other people? Yes a bitYes a lotFeeling more connected to other people? Yes a lotPrefer not to sayFeeling more connected to other people? Prefer not to say Is there anything you've been able to do that you wouldn't have otherwise?Is there anything you'll definitely take away from your time volunteering with us?Do you feel like we have supported you to be able to do your volunteering role?YesNoIf there is more to say please fill use the text box belowDo you receive communications from us about socials and other training opportunitiesYesNoHow do you feel about our communication with volunteers? Too oftenAbout rightNot enough Too oftenItem #1 Too oftenAbout rightItem #1 About rightNot enoughItem #1 Not enough Do you have any suggestions on what/how we can communicate to our volunteers?What would be the best email to contact you on?Did you know that we have a volunteer drop in at the Lewisham Irish Centre on Thursdays 10:30 - 12:30?Yes I've been!I've heard but I haven't comeNo2A Davenport Rd, Catford, London SE6 2AZOur team come to the drop in every week to have a social place to talk to our volunteers, have a cuppa and meet the other people who help to make our communities less isolatedDo you feel comfortable signposting service users to groups and services within Lewisham?YesSort ofNoWe have a page of phone numbers to ring for our volunteers to pass on at communityconnectionslewisham.org/signposts-for-volunteers/. When in doubt you can always give Community Connections Lewisham's phoneline number (0330 058 3464) to service users if they're looking for a service or group in the borough.How well matched do you feel to your befriender? Badly matchedNot well matchedNeutralWell matchedVery well matched Badly matchedItem #1 Badly matchedNot well matchedItem #1 Not well matchedNeutralItem #1 NeutralWell matchedItem #1 Well matchedVery well matchedItem #1 Very well matched How well matched do you feel to your befriendee? Badly matchedNot well matchedNeutralWell matchedVery well matched Badly matchedItem #1 Badly matchedNot well matchedItem #1 Not well matchedNeutralItem #1 NeutralWell matchedItem #1 Well matchedVery well matchedItem #1 Very well matched What do you think of the volunteer(s) that have supported you?Were you a part of our services before August 2022?YesNoWere you aware that the services transferred from Voluntary Services Lewisham (VSL) to Community Connections Lewisham in August 2022?YesNoCommunity Connections Lewisham is a project under Age UK Lewisham and SouthwarkHave you noticed any difference in the service since August 2022?Do you have any suggestions for ways we can improve what we do?Would you recommend the service?YesNoWould you recommend volunteering with us?YesNoDo you want to be involved in shaping the way we work going forward?YesNoDo you know we have an advisory group where volunteers and service users get updates on what we do and they shape our services going forward? It will be twice a year for 2 hours, Anyone who has been involved in our services are welcome. Would you be interested?YesNoPlease give your email so we can contact you about the groupDo you have any suggestions on how else we can involve people who want to be?How did you hear about us?Community Connections LewishamIndeedWord of MouthCommunity Festival/Event StallLewisham LocalCommunity SouthwarkOther (answer below)If other, please tell us more about where you heard about usSubmit Share this:TweetWhatsAppEmailPrintLike this:Like Loading...
