Grosvenor Avenue COVID-19 Support Group

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* 1. Your name?

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* 2. What number do you live at in our road?

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* 3. How many live at your house?

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* 4. Would you like to alert your neighbours to the fact that people in your home are especially vulnerable? (age, existing illness etc)

No

Yes

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* 5. If yes, can you tell us who and why?

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* 6. Do you need support now? What kind of support?

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* 7. What kind of help could you offer other members?

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* 8. Are you already supporting someone in our road? Can you tell us who?

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* 9. Do you know of anyone in the road who is likely to need a higher level of support? Can you tell us who?