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* 1. Are you completing this survey as an:

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* 2. Where do you go for information about equipment to support you in your daily lives?

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* 3. Do you get the information you need?

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* 4. Is it easy to get the information you want?

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* 5. Do you feel you have a choice on what equipment you get?

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* 6. If you want to know how to use your equipment who do you ask?

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* 7. How confident do you feel using the equipment you have got?

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i We adjusted the number you entered based on the slider’s scale.

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* 8. How independent does having equipment make you feel ?

0 OK 10
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i We adjusted the number you entered based on the slider’s scale.

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* 9. Which area of Flintshire do you live in?

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