Please let us know how coronavirus [Covid-19] has impacted your financial situation

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* 1. Are you an Oakam customer?

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* 2. Are you experiencing economic hardship as a result of coronavirus?

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* 3. Are you experiencing difficulty repaying your Oakam loan as a result of coronavirus?

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* 4. How have you been negatively impacted by coronavirus? Check all that apply

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* 5. Are you currently receiving government benefits or support?

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* 6. Are you entitled to Statutory Sick Pay, Employment and Support Allowance [ESA] or Universal Credit?

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* 7. In the month before being negatively impacted by coronavirus, were you:

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