My journey through my support services

Data and privacy

Privacy statement: West Sussex County Council and the Changing Futures programme will collect some personal data (e.g. age, sex) in order to comply with a statutory duty. We will process this data in accordance with the 2018 Data Protection Act, General Data Protection Regulations and any subsequent relevant legislation. West Sussex County Council is registered as a Data Controller (Reg. No. Z6413427). The data your provide will not be used for any purpose other than that stated, and will be stored electronically for a period of up to 5 years before being appropriately destroyed. For further information about our Data Controller, please see www.westsussex.gov.uk/privacy-policy.

Who's journey is this?

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Maximum 255 characters

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(you can use a first name or pseudonym if you prefer)

Who is completing this questionnaire? (e.g. Self, carer, other)

Maximum 255 characters

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Today's date

* required

Age in years (e.g. 35)

Maximum 255 characters

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Gender

Male

Female

Non Binary

Trans

Genderfluid/Genderqueer

Prefer not to say

Other (you can specify below if you wish)

Ethnicity

Asian or Asian British: Any other Asian background (please specify)

Asian or Asian British: Bangladeshi

Asian or Asian British: Chinese

Asian or Asian British: Indian

Asian or Asian British: Pakistani

Black, Black British, Caribbean or African: African (please specify)

Black, Black British, Caribbean or African: Any other Black, Black British or Caribbean background (please specify)

Black, Black British, Caribbean or African: Caribbean

Mixed or Multiple Ethnic Groups: Any other Mixed or Multiple background (please specify)

Mixed or Multiple Ethnic Groups: White and Asian

Mixed or Multiple Ethnic Groups: White and Black African

Mixed or Multiple Ethnic Groups: White and Black Caribbean

Other ethnic group: Arab

White: Any other White background (please specify)

White: English, Welsh, Scottish, Northern Irish or British

White: Gypsy or Irish Traveller

White: Roma

Other ethnic group: Any other ethnic group

Prefer not to say

My postcode or location

Maximum 255 characters

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When does this journey with support services begin?

Maximum 255 characters

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What issues and concerns did I experience at the start of this journey?

Homelessness

Substance misuse

Mental health issues

Domestic abuse

Contact with the criminal justice system

Physical health needs

History of rough sleeping

Experience of care system (adult or juvenile)

Other (please specify)

Choose all that apply

10.

What about me shaped this journey? What happened to me previously that had an impact on my life?

11.

Where was I at the start of this journey and what went wrong for me? How did my experiences with services make a difference?

12.

What happened next? – list of key events (with dates if possible)

13.

How did my interactions with services work out? Please link to above points if possible.

14.

What support did I get from services / organisations?

15.

Who helped me?

16.

What services and organisations didn’t help me? And why didn’t they help me?

17.

Is there anything that didn't happen that I think would have made a difference if it had? What could have been better?

18.

What worked well?

19.

What created the biggest change for me? What turned things around?

20.

Where am I now?

21.

What have I achieved?

22.

Anything else I would like to share?

23.

Any documents or pictures I would like to upload

24.

If you would like to receive updates on the Changing Futures Programme, including this journey mapping exercise, please leave your email address below , or contact us via the details in the side bar on the previous page