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* 1. Do you have any difficulties or barriers to accessing local services such as shops, supermarkets, banks, Post Offices and GP surgeries?

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* 2. Which of the following services can be difficult to use? You can tick as many boxes as you like.

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* 3. If yes, please write in the box below what are the main difficulties or barriers to you accessing such local services?  Examples might include: getting there; finding someone to help; being able to read information such as signs, prices and posters/ leaflets; attitude of staff; understanding of sight loss and how to offer support appropriately.

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* 4. Would you like to have a better experience when using local services such as shops, supermarkets, banks, Post Offices and GP surgeries?

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* 5. What are the main things that need to change to make your experience better? Please write suggestions below:

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* 6. Would you like to have more knowledge and confidence, so you can make those changes by talking to staff?

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* 7. Do you think that life would be easier and more enjoyable if everyone in your community better understood what it’s like to be blind or partially sighted?

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* 8. If more people understood sight loss and how to assist you appropriately, do you think that you would be more included in community activities?

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* 9. Is there anything else we can do to help make your life more independent or more enjoyable and fulfilling? Please write suggestions below:

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