CREG Feedback Form February 2023

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When you applied for the Carers Resilience Enablement Grant you agreed to complete this Feedback Report and return it to us, together with evidence of the spend e.g. copy receipts, invoices, etc, within the timeframe specified on your application form. In order to understand whether the item or activity you received has helped, we would like to ask you a few questions. We are passionate about assisting carers and the people they care for so all feedback is valuable and may be used to secure further funding for this particular need.
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Failure to submit a Grant Feedback Report with relevant receipts may result in us asking for all or part of the grant monies to be returned and we will not be able to consider you for any future funding until these have been received.

If you need any help completing this form, please call us on 01736 756655.
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Application Number* This field is required.
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Group Name* This field is required.
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Amount received (£)* This field is required.
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What was the activity or item that this grant funded?* This field is required.
Repair or replacement of essential domestic equipment.
Funding for private care equipment.
Other urgent domestic need
Urgent break
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If applicable, how many carers took part in the activity?* This field is required.
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If applicable, how many supported people took part?* This field is required.
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Did you do anything different to what was agreed on your application form? If so, please tell us what.* This field is required.
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What has the grant been spent on?* This field is required.Please give us a breakdown of what your grant was spent on below, indicating if receipts are enclosed
Item/ activity
Actual Expenditure (£)
Receipts enclosed – please tick
Activity 1
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Activity 2
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Row 1, Column 2
Activity 3
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Activity 1
Activity 2
Activity 3
Item/ activity
Row 0, Column 0
Actual Expenditure (£)
Row 0, Column 1
Receipts enclosed – please tick
Row 0, Column 2
Item/ activity
Row 1, Column 0
Actual Expenditure (£)
Row 1, Column 1
Receipts enclosed – please tick
Row 1, Column 2
Item/ activity
Row 2, Column 0
Actual Expenditure (£)
Row 2, Column 1
Receipts enclosed – please tick
Row 2, Column 2
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Please upload evidence of the receipts.* This field is required.
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If you did not enclose any receipts, please explain why.* This field is required.
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How has the activity or item benefitted you as a carer?* This field is required.Please tell us what impact this item or activity had on your health and wellbeing and what difference this has made to you. (Please do not give any specific medical information, e.g. a health diagnosis as, under EU General Data Protection Regulations (2018) we are not permitted to hold this information)
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Has this grant activity or item improved your quality of life and wellbeing?* This field is required.
Very much so
A little
Neutral
Not much
Not at all
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Has this grant activity or item reduced the need for additional support in your caring role?* This field is required.
Very much so
A little
Neutral
Not much
Not at all
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If you feel this grant programme could be improved, please tell us how?* This field is required.
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We would love to hear more about your life as a carer, the impact that caring has on your health and wellbeing and how this grant has helped you. The more detail you are able to give us, the better. If you would be kind enough to tell us more, we can use this information (anonymously) to show Cornwall Council and NHS Cornwall how vital this grant is in supporting carers.

Please note, you do not have to complete this section.
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Please could you tell us a little bit about your caring role and how this affects your own health and wellbeing. * This field is required.Please do not give any specific medical information, e.g. a health diagnosis as, under EU General Data Protection Regulations (2018) we are not permitted to hold this information.
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How did taking part in the activity or having the item you purchased through this grant help you with your role as a carer? What difference has it made to you?* This field is required.
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Signature* This field is required.
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