Covid-19 About You Question Title * 1. Have you or any members of your household been impacted by Covid-19? Financially Physically Mentally Not affected Other (please specify) Question Title * 2. Do you or any members of your household need support following on from the impacts of COVID-19? Yes No Question Title * 3. If yes, what support do you require? Welfare and benefits advice Employment support Debt Advice Counselling/mental wellbeing Other (please specify) Question Title * 4. Have you or any members of your household been placed on furlough? Yes - I am currently on furlough Yes - I was previously furloughed but I am now back at work No Question Title * 5. Have you or any members of your household been made redundant as a result of the COVID-19 pandemic? Yes No (please elaborate) Question Title * 6. Have you accessed any support services during the COVID-19 pandemic? Yes - please specify No if yes please specify Question Title * 7. What can we do to support you better during the COVID-19 pandemic? Next