North Somerset’s Short Breaks offer for children and young people with additional needs (SEND) under 18 years of age.

Adult's Questionnaire

1.

Are you completing this questionnaire as...?

Please tap or click on all that apply.

This question is mandatory because we ask some different questions depending on the answer you give. 

Select at least 1 option.

2.

How old is the child or young person that you care for?

3.

Please click or tap on all the services that the child or young person you care for currently accesses:




4.

Are there any activities you or the child you care for has tried to use but were unable to?