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* 1. Below is a list of areas we think are important when caring for you. Please put them in order, with the one you think is most important at the top.

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* 2. Is there anything important we've missed from the above list?

The information you give us will stay confidential but will help us see how answers are different for different people in our communities.

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* 3. Which neighbourhood do you live in or what are the first 2/3 digits of your postcode? (e.g. M22, M40)

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* 4. How old are you?

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* 5. What is your gender?

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* 6. Do you have a disability or long-lasting illness?

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* 7. If yes, please tell us what your disability/long-lasting illness is?

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* 8. How do you describe your religion, belief, or faith?

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