Coming Out of COVID -  Selby District Survey  

COVID has had a significant impact on so many people, families, communities, and organisations. The results of this survey will be collated and shared across community partnerships to help shape services and direct resources to where they are most needed. 

You can contact Selby District AVS on 01757 291111 to complete the survey with one of our staff. 

Selby District AVS will hold the data to create reports on the impact of Covid and the future needs of people across Selby District. Your personal details will not be shared in these reports.

Thank you for taking the time to complete the survey.

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* 1. How do you feel your overall emotional/physical wellbeing is now, compared to before COVID?

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* 2. How do you feel your finances are now, compared to before COVID?

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* 3. To what extent do you agree or disagree with the following statement?
If I needed help, other local community members would support me.

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* 4. Do you worry about the cost of your energy bills?

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* 5. Do you have difficulties keeping your home warm?

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* 6. Would you like to access any of the following support and services?

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* 7. I would like to receive regular updates regarding community services / activities from Selby District AVS

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* 8. I would like to access relevant support on the areas I ticked above

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* 9. I would like to be emailed a copy of the summary survey results

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* 10. Please tick to confirm that you give permission for Selby District AVS to contact relevant organisations and working partners and for those partners to contact you individually via telephone, email, or letter, on the areas you have requested relevant support with. Selby District AVS will retain your information.

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* 11. Please provide your Name, Contact Number, and Email address if you have ticked any of the 3 previous questions.

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* 13. Age

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* 14. Gender

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* 15. Do you consider yourself to have a disability? (please select one option only)

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* 16. If you selected ‘Yes’, please select the options below that most apply:

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* 17. Race - How would you describe your ethnic origin?

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* 18. How would you describe your sexual orientation? (please select one option only)

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* 19. Please use the box below to provide any further relevant information

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