HOUSING FOR AMPUTEE FAMILIES

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* 1. Are you in a house suitable to your needs?

Yes

No

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* 2. If yes are you in a private or social housing property?

Private

Social Housing

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* 3. If No, how long have you been without accessible housing?

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* 4. Have you had any adaptations to your home completed?

Yes

No

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* 5. If yes, how long did you wait for these?

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* 6. Please let us know what your current housing needs are

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* 7. Type your email address, if you would like to be updated on our plans to support those in unsuitable housing

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* 8. Please let us know any other comments you have on the housing crisis facing disabled families and even if you are not directly affected if you might be keen to support by writing a letter to your MP