CGG Feedback Form February 2023

When you applied for the Carers Groups 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 online application form. In order to understand how the activity your group took part in 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.

Failure to submit a feedback report with all 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 your group for any future funding until this is received.

If you need any help completing this form, please call us on 01736 756655.

Name of group and application number* This field is required.

Did you use the money for anything that wasn't specified in your application form? If yes, please tell us what you did differently.* This field is required.

Please give us a breakdown of what your grant was spent on below, also indicating if receipts enclosed (if not please explain why in the next question)* This field is required.

Please upload evidence of costs here (Screenshots, Documents, etc.)* This field is required.

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Max. file size: 10.6MB

If you did not have any receipts enclosed for activities/items, please explain why here.* This field is required.

Please tell us how the grant has helped your members health and wellbeing and what difference this has made to them, e.g. their quality of life has improved, they are more supported, less isolated, etc* 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 (Please include anonymous feedback/quotes from group members where available)

Has this grant or item improved carers' quality of life?* This field is required.

Not at all

Not much

Neutral

A little

Very much so

Other

Has this grant activity or item reduced the need for additional support?* This field is required.

Not at all

Not much

Neutral

A little

Very much so

Other

If you feel that this grant programme could be improved, please tell us how?* This field is required.

We would love to hear more about the impact that caring has on carers’ health and wellbeing and how this grant has helped them. The more detail a carer is 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 & The Isles of Scilly ICB how vital this grant is in supporting carers.

(Please note, you do not have to complete this section)

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.

How did the support received from your Carers Group help you with your role as a carer?* This field is required.Examples can be anecdotal

How does this group support your health and wellbeing? What difference has it made to you?* This field is required.

Signature* This field is required.

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Date* This field is required.

Date