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* 1. What is the name of your organisation?

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* 2. What is the name and email address of the person completing this survey?

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* 3. Where do you offer services to the local community?

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* 4. We are keen to find out more about the impact of COVID on your service delivery. Please tell us if you have developed or changed services in response to COVID?

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* 5. If there has been a change in demand to service users accessing your services, by how much has this service increased or decreased? (Please verbalise the change in numbers and/or percentages and give examples)

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* 6. Are the profiles of service users changing and if so how? (i.e. Is there any new 'need' that has been identified that ‘your’ organisation doesn’t usually encounter)

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* 7. If any localities are being impacted more than others, which areas are these? (If specific areas within a borough or district, please state within 'comment' box)

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* 8. What responses are taking place on the ground to address these challenges?

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* 9. We are keen to understand the impact on your organisation directly. Please write your responses to the following questions in the text boxes below: 

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* 10. Are there any datasets or evidence that your organisation can provide to support your comments. If so, how often is this captured and who is the contact of the person that captures this?

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