Going into Hospital with a Learning Disability

Your feedback is important to us. It will help us improve your experience of using Help & Support Manchester in the future.

1 Who are you?

Child Young Person Parent/Carer Practitioner Other:

2 How did you hear about Help & Support Manchester?

Search engine (Google, Bing, etc) Manchester Contact Service Other Manchester City Council team/department Other:

3 Why were you visiting the directory today?

4 Did you find the information you were looking for?

Yes No

If not, what couldn't you find?

5 How easy did you find the directory to use?

1 being very easy, 4 being very difficult

Very Easy 1 Very Easy 2 Easy 3 Difficult 4 Very Difficult Very Difficult

If you found it difficult, please tell us why

6 How could we improve your experience of using the directory?

If you have noticed outdated information, or a service is no longer running, please let us know using the 'is this information correct?' button on the service entry.

Please complete the sections below. We will work with our partners to address any gaps in childcare that we are made aware of.

1

Name:

Postcode:

Telephone:

2How many children do you need childcare for?

I have How many children do you need childcare for? Please choose... 1 2 3 4 5 children What is the age of the eldest child you need childcare for? Please choose... 1 2 3 4 5 years old or under

Please give the ages of your children:

3How many days do you need childcare for each week?

Days per week Please choose... 1 2 3 4 5 6 7

4 Please describe your childcare needs:

Special Educational Needs & Disabilities Variable hours each week (please give details) Unusual hours Weekend care Shift work Other: