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* 1. Are you currently shielding your Child/Young Person?

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* 2. Would you like access to respite during the coming months?

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* 3. What type of eductioanl setting does your Child/Young Person attend?

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* 4. Would you be intrested in accessing a 2 hour session suppported by Enable Ability?

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* 5. To access this form of respite what form of transport would you use?

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* 6. If the 2 hour session is not appicable to your current situation what would you like the Local Authority to Offer your family in regards to respite?

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* 7. What part of the city do you live in?

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* 8. What age is your Child/Young Person?

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* 9. Do you have more then one Child/Young Person with SEN/Disabilities?

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* 10. If your Family is in need of Immediate support please leave your contact details so Portsmouth Parent Voice can pass on to make sure you get the suppport you need?

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