NEWPORT CITY COUNCIL

HOUSING SUPPORT OUTCOMES QUESTIONNAIRE 2022/2023

To be completed for ALL service users when support starts, support is reviewed and when support ends

Scheme Information

Q1
Q2
Q3

Service User Information

Q4
Q5
Q6
Q7
Q8Please select which Outcomes information you are completing for your service user for this 6 month collection period:
Q9
Q10
Q11

Outcomes

Promoting Personal and Community Safety

Q12Outcome 1: Feeling safe
Q13Have any of the following prevented progression for the service user
Q14Outcome 2: Contributing to the safety and well-being of themselves and of others
Q15Have any of the following prevented progression for the service user

Promoting Independence and Control

Q16Outcome 3: Managing accommodation
Q17Have any of the following prevented progression for the service user
Q18Outcome 4: Managing relationships
Q19Have any of the following prevented progression for the service user
Q20Outcome 5: Feeling part of the community
Q21Have any of the following prevented progression for the service user

Promoting Economic Progress and Financial Control

Q22Outcome 6: Managing money
Q23Have any of the following prevented progression for the service user
Q24Outcome 7: Engaging in education/learning
Q25Have any of the following prevented progression for the service user
Q26Outcome 8: Engaged in employment/voluntary work
Q27Have any of the following prevented progression for the service user

Promoting Health and Wellbeing

Q28Outcome 9: Physically healthy
Q29Have any of the following prevented progression for the service user
Q30Outcome 10: Mentally healthy
Q31Have any of the following prevented progression for the service user
Q32Outcome 11: Leading a healthy and active lifestyle
Q33Have any of the following prevented progression for the service user

End of Support Information

Q34Was support ending planned?
Q35
 

Homelessness Status

Q36Homelessness status at start of support
Q37Homelessness status at end of support

Completion Details

Q38
Q39
Q40
 
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