Questionnaire 5-12 - UK Commission on Bereavement

Parents data

Thank you for your consideration. If you are happy for you and your child to take part, please complete this section. *

I have read and understood the information above and I am happy for me and my child(ren) to participate
I will be available to support my child(ren) as they complete the survey
I consent to my and my child(ren)’s data being held and processed securely in line with data protection and GDPR
I understand that mine and/or my child’s information may need to be shared with the Local Authority/Health and Social Care Board (NI) in the event of any safeguarding concerns

First Name *

Last Name

Email Address *

Address 1 *

Address 2 *

Town / City *

Postcode *

Name of your child - first sibling

Name of child second / third / forth siblings

Questions for parents

Your experience as a parent

Thank you for sharing your thoughts with the UK Commission on Bereavement. Please answer these questions about bereavement support for your child or children if they are aged 5- 12 on the date of completing the survey. If they are over the age of 13, they can complete the relevant survey.

What support from family and friends has helped your child or children?

Thinking about your child(ren)’s experiences at school following their bereavement, how well supported have they been?

Very well supported
Fairly well supported
A little bit supported
Not at all supported
I don't know

What support from school has helped your child or children?

What support from bereavement support services (such as charities or other organisations) has helped your child or children?

Do you have any other suggestions about how support for bereaved children could be improved? (eg financial money support, support in hospitals or hospices)

The next section asks your child if they would like to take part, and if so, it leads into questions for them. If you have more than one child who would like to complete the survey, please start it again on a different device or after the first child has submitted their answers.