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Blossom Trail Survey
Oubaitori Collective
Blossom Trail Survey
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Progress
Step 1 of 13
1. How do you describe your gender?
Understanding the gender of potential service users helps us to design and deliver gender-appropriate services
Female
Male
Prefer not to say
Prefer to self-describe
Specify gender
2. Tell us your age
Understanding the age of potential service users helps us to design and deliver age-appropriate services
Under 18 years
19 - 24 years
25 - 34 years
35 - 44 years
45 - 54 years
55 - 64 years
65 - 74 years
Over 75 years
3. Which of the following best reflects your experience of neurodivergence?
This helps us understand the range of people who use the Blossom Trail and design services that meet everyone's needs
I have a formal neurodivergence diagnosis
I am currently going through assessment or diagnosis
I identify as neurodivergent, or I am exploring this without seeking a formal diagnosis
I think I or someone close to me may be neurodivergent, but I am still unsure
I support a neurodivergent family member, friend, or someone I care for
I may be experiencing burnout and have not yet explored whether I might be neurodivergent
Other โ please specify below
Specify other neurodivergence experience
4. How are you feeling?
Most people have a mix of feelings from day-to-day, sometimes more frequently. Tell us how you have been feeling overall in the last 4 weeks
๐ช
Blooming โ I am thriving and living authentically
๐ฆ
Balanced โ I am feeling stable
๐ฆ
Steady โ I am functioning consistently
๐ฉ
Stretched โ My energy is dipping and day-to-day tasks feel harder
๐จ
Strained โ I am using all my energy to manage daily tasks
๐ง
Overloaded โ I am struggling daily and just about functioning
๐ฅ
Burnout โ I am completely overwhelmed and exhausted. I am unable to function
5. Where do you live or work?
We would like to understand more about where potential services users live and how services may vary in your local council area
Please select...
County Durham
Darlington
Gateshead
Hartlepool
Middlesbrough
Newcastle Upon Tyne
North Tyneside
Northumberland
Redcar and Cleveland
South Tyneside
Stockton-on-Tees
Sunderland
Other Area / Online Only
6. Your current circumstances
Select the option that best describes your circumstances right now
I am in employment (paid work, including apprenticeships)
I am self-employed (sole trader, running a business)
I am in full-time education or training
I am not in employment, education or training right now
Other โ Please specify below
Specify other circumstances
7. My daily environments, where I live, work and socialise
The places I spend time in feel right for me and meet my unique needs
Strongly Agree
Agree
Disagree
Strongly Disagree
8. My energy levels
I feel confident that my daily activities are sustainable without risking my energy levels or health
Strongly Agree
Agree
Disagree
Strongly Disagree
9. Daily Activities
What specific daily tasks drain your energy the most?
10. What brings you joy?
11. Support Services
I have been able to access support services in my area that understand my neurodivergence and/or burnout
Strongly Agree
Agree
Disagree
Strongly Disagree
12. What works for you?
What tools and techniques do you use to help you function?
13. What would help you or others?
Understanding what would help you and other neurodivergent adults will help us to design services that meet people's needs
Accessible, sensory safe community spaces
Peer-to-peer support / Flexible support
Peer led mentoring lived experience training
Inclusive employment pathways
Paid work trials to gain experience
Affordable coaching
Digital tools to support accessibility
I am not sure; however, I know I need some support
Other (Please specify)
Specify other help
14. Community Based Services
Are there any services, groups or tools (digital or internet based) in your area that ARE working well for you?
15. How accessible were the locations you visited today?
(Optional)
Please tell us where you were and any feedback โ positive and negative. This will be shared with the relevant organisations and will help improve access to venues and facilities for others in the future.
16. Was there an accessible toilet available at the venue?
(Optional)
Please share any feedback โ positive or negative โ about accessible toilet facilities at the venues you visited today.
Yes โ accessible toilet was available and usable
Partially โ there were some issues
No โ no accessible toilet was available
Not applicable / I did not need to use one
Any further comments about accessible toilets
Please complete this question to continue.
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