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Planning for the future 

Thank you for agreeing to take part in our questionnaire!

This questionnaire has been created by the local North East London Healthwatch (Tower Hamlets, Hackney, City of London, Newham, Waltham Forest, Redbridge, Barking and Dagenham, and Havering) in partnership with the East London Health and Care Partnership (the eight councils and 12 NHS organisations in East London). We want to understand disabled residents' experience of health and social care services during the Covid-19 pandemic to address any challenges they may be facing now and to plan future services. 

Please fill in this questionnaire if you look after somebody who would not be able to answer questions themselves- for example if you are the parent of a disabled young child, the carer for someone with a severe learning disability or dementia.

If the person you are caring for could answer the questions with assistance (for example, with a translation in their first language or a BSL interpreter), please click here instead and assist them to fill in the questionnaire for themselves, or contact your local Healthwatch and they will be able to provide assistance.

Your answers are strictly confidential; you will not be required to provide your name, the name of the person you are caring for or identifiable personal data. The results of this questionnaire will be shared with community partners such as hospital trusts, local authorities and Clinical Commissioning Groups, in an entirely anonymised format from which respondents cannot be personally identified. We hope that this will reassure you that you can be as honest as you wish without fear of any consequences in terms of the services you receive. You can find further information on how we store and use data here and here.

We do however want to involve participants in developing the recommendations from the questionnaire and let you know what difference they make. At the end of the questionnaire we will ask you to provide your contact details. You do not have to submit them, and you can still take part if you choose not to do so. These details will never be shared outside of our organisation.

The questionnaire will take approximately 20 minutes to complete. As an appreciation of your time anyone who completes the questionnaire and leaves their details will go into the draw to win a £200 Amazon voucher or one of the three £100 vouchers.

If you would like an Easy Read copy of the questionnaire or would like help with completing the questionnaire please don't hesitate to contact us:

Telephone: 0800 145 5343

Question Title

* 1. Are you a carer of a disabled person?