Families Living with Diabetes

Cleveland Area Support Group

FLD Survey 2007

This questionnaire is to gauge people’s interest in the purpose and worth of a local support group for families who have children living with diabetes. Your feedback and thoughts are valuable in helping us to provide support, now and in the future.

How interested are you and your family in the following?

Activity	Not Interested	Interested	Very Interested
Becoming a member of the committee
Social Gatherings :
Christmas Party
Annual summer trip
Fund raising events
Afternoon coffee and chat
Other (please state)
Becoming a fundraiser
Educational sessions with Guest speaker
Newsletters for the children
Newsletters for the parents
Buddy scheme for kids
Buddy scheme for families
Social evening with speaker
Others (please state)

We provide the following services; please rate each on their importance to your family.

Service	Not Important	Important	Very Important
Identity Cards
Birthday Cards
Child of Achievement Awards
Books and video's library
DLA Claim Advice
Newsletter
Marrick Priory Subsidy
Friendly advice

It has been suggested that the group should be run like a PTA with members of the committee being a mix of parents who have children in the children's diabetes service - please indicate whether you:

Agree
Disagree
Have no opinion on this

Please indicate the age of your child?

0-5 Years
6-10 Years
11-16 Years

If you have expressed an interest in joining the committee, or becoming a funraiser then please provide your email address in the following space:

Please use the following space for your criticisms, suggestions or even compliments regarding FLD.