1. Information recorded on this survey will be used to shape and improve our services.

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* 1. Please enter the address that you live in (please include your room/flat number):

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* 2. Are you treated with respect and involved with your support?

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* 3. Do you feel that the time you spend with your Independent Living Worker is helpful to you?

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* 4. Are you involved in designing your positive plan?

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* 5. Is it helping you to set out and achieve your goals?

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