* 1. Please provide your name and contact details

* 2. Please provide the name of the digital service/system, assistive technology or device you would like to nominate?

* 3. Please give a brief description of the digital service/system, assistive technology or device you would like to nominate?

* 4. How does it improve the experience/outcome of your service users/clients/the people you care for?

* 5. Does it enable your service users/clients/the people that you care for to do anything that they couldn’t do before?

* 6. Does it enable your service users/clients/the people that you care for to live more independently or be more self-sufficient?

* 7. Do you have any feedback from service users/clients/the people that you care for?

* 8. Do you have any examples and outcome data of how it has improved or helped service users/clients/the people that you care for?

* 9. How easy is it to use?

* 10. How does it help you give a better service to your service users/clients/the people that you care for?

* 11. Why do you think it should win an award?

* 12. Is there anything else you would like to say to help your nominated digital service/system or device win?

* 13. Where did you hear about these awards?

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