CAN DO - Survey for referrers - Page 1 of 7 - Trafford Council's Citizen Space

1. Which best describes your role?

(Required) SENCO Reception Teacher Nursery Practitioner Childminder Health Visitor Other (please specify)

2. What is your name, and setting name (If wish to answer).

3. How familiar are you with the Can Do programme?

(Required) Very familiar Somewhat familiar Heard of it but not confident in details Not familiar

4. Do you refer regularly to the Can Do programme?

(Required) Yes No

CAN DO - Survey for referrers