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* 1. What is the name of your organisation

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* 2. What year were you constituted?

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* 3. What is your organisation's formal status?

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* 4. How would you describe your organisation?

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* 5. Does your organisation follow the Social Model of Disability?

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* 6. If you marked 'Yes' to Q5, what do you do in practice to show this? Please tick all that apply

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* 7. How many Trustees/Board/Management Committee members do you have who are

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* 8. How many staff do you employ Full Time who are

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* 9. How many staff do you employ Part Time who are

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* 10. How many Volunteers do you have who are

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* 11. What does your organisation do (please tick all that apply)

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* 12. How are you funded? Please tick all that apply

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* 13. Please list any funding bodies to which you have successfully applied in the last 12 months

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* 14. Please list any funding bodies to which you have unsuccessfully applied in the last 12 months

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* 15. Over the past 5 years has your organisation's overall income

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* 16. How financially secure do you feel compared to 5 years ago?

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* 17. Please provide up to 3 comments about the reasons why you have given your answer in Q16.

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* 18. What do you see as the current major Strengths and Opportunities in relation to the DDPO/DPO sector in England? Please list up to 3

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* 19. What do you see as the current major threats and weaknesses in relation to the DDPO/DPO sector in England? Please list up to 3

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* 20. What work is needed to strengthen and develop the DDPO/DPO sector? Please list up to 3 

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* 21. If you would be willing to take part in a longer, telephone survey in October, to gather more organisational information from you, again in a strictly confidential manner, please write your telephone number here.

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* 22. If you would like to receive a final copy of the report when it is written please tick the relevant box

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