|
SUPPORTING PEOPLE OUTCOMES QUESTIONNAIRE 2019 |
To be completed for ALL service users at start of support, at review of support and at end of support |
1. |
|
|
2. |
|
|
3. |
|
|
4. |
|
|
5. |
|
|
6. |
|
|
7. |
|
|
8. |
Please select which Outcomes information you are completing for a service user - start, review or end: |
|
|
|
|
|
9. |
|
|
10. |
|
|
11. |
|
|
Promoting Personal and Community Safety |
12. |
Outcome 1: Feeling safe |
|
|
|
|
|
|
|
|
|
|
|
13. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
14. |
Outcome 2: Contributing to the safety and well-being of themselves and of others |
|
|
|
|
|
|
|
|
|
|
|
15. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
Promoting Independence and Control |
16. |
Outcome 3: Managing accommodation |
|
|
|
|
|
|
|
|
|
|
|
17. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
18. |
Outcome 4: Managing relationships |
|
|
|
|
|
|
|
|
|
|
|
19. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
20. |
Outcome 5: Feeling part of the community |
|
|
|
|
|
|
|
|
|
|
|
21. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
Promoting Economic Progress and Financial Control |
22. |
Outcome 6: Managing money |
|
|
|
|
|
|
|
|
|
|
|
23. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
24. |
Outcome 7: Engaging in education/learning |
|
|
|
|
|
|
|
|
|
|
|
25. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
26. |
Outcome 8: Engaged in employment/voluntary work |
|
|
|
|
|
|
|
|
|
|
|
27. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
Promoting Health and Wellbeing |
28. |
Outcome 9: Physically healthy |
|
|
|
|
|
|
|
|
|
|
|
29. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
30. |
Outcome 10: Mentally healthy |
|
|
|
|
|
|
|
|
|
|
|
31. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
32. |
Outcome 11: Leading a healthy and active lifestyle |
|
|
|
|
|
|
|
|
|
|
|
33. |
Have any of the following prevented progression for the service user |
|
|
|
|
|
|
|
|
|
End of Support Information |
34. |
Was support ending planned? |
|
|
35. |
|
|
|
|
|
36. |
Homelessness status at start of support |
|
|
|
|
37. |
Homelessness status at end of support |
|
|
|
|
|
38. |
|
|
39. |
|
|
| |