We want policy and decision-makers to know what is happening to Disabled people on the ground, and what changes are needed. 

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* 1. Do you consider youself any of the following (Please tick all that apply)

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* 2. What borough or county council

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* 3. What is the issue? (Please tick all that apply)

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* 4. Please explain the problem or problems

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* 5. What have you done to try and resolve the problem(s)?

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* 6. Have you attempted to contact your local authority?

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* 7. What was the response from the local authority?

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* 8. Email Address (This is to contact you in case we would like to find out more about your situation. We won't share this information with anyone without your consent)

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