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* 1. Your name
Or leave blank if you prefer........

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* 2. Name of any advocates who have supported you
Or leave blank if you prefer.....

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* 3. Does your advocate help you think through your choices?

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* 4. Does your advocate tell you what your rights are?

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* 5. Does your advocate pass on your wishes and feelings in the way you asked
them to?

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* 6. Does your advocate help you get your voice heard?

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* 7. Does your advocate only share information about you with your permission?

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* 8. Does your advocate keep information about you private?

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* 9. Does your advocate keep you informed?

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* 10. Does your advocate allow you to see your advocacy files?

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* 11. Does your advocate get back to you quickly?

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* 12. Is your advocate easy to contact?

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* 13. What is good about having an advocate?

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* 14. Is there anything not so good about having an advocate?

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* 15. Is there anything else you would like to tell us about having an advocate or the services you have received?

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* 16. Do you have any comments about the reviews and meetings you have attended with Social Care?

T