Self-Advocacy Workshop 10th March 2021

Thank you for your interest in Action for M.E.'s Advocacy Workshop

Following the success of our free online self-advocacy workshops in 2020, we’re pleased to announce that we will repeat the workshop on 10th March 2021 at 2 - 4pm

Led by our experienced Advocacy Officers, it will focus on knowing your rights, getting your voice heard, and exploring barriers people with M.E. face to accessing services and support.

The workshop is open to anyone aged 18 and over, who has M.E./CFS or cares for someone who does.

To sign up for the workshops, please complete the questions below and we will be back in contact with full joining instructions.

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* 1. First Name

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* 2. Surname

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* 3. Email

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* 4. Telephone Number

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* 5. Postcode

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* 6. Please tick the box which best describes you:

I am an adult with M.E./CFS

I care for someone with M.E./CFS

Other (please specify)

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* 7. In order to better understand who is accessing our project, our funders have asked us to collect the following data on age, gender, ethnicity and disability. Any information you provide will be anonymised before it is seen by the funder. Thank you for completing these questions.

Please select your age:

18 - 25

26 - 35

36 - 45

46 - 55

56 - 65

66 - 75

76+

Prefer not to say

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* 8. Please tell us your gender:

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* 9. Please tell us your ethnicity:

Asian British

Asian Bangladeshi

Asian Indian

Asian Pakistani

Asian - Other

Black British

Black African

Black Caribbean

Black - Other

Chinese

Mixed Race - White and Asian

Mixed Race - White and Black African

Mixed Race - White and Black Caribbean

Mixed Race - White and Chinese

Mixed Race - Other

White British

White Irish

White - Other

Other - not listed above

Prefer not to say

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* 10. Do you consider yourself to have a disability?

Yes

Prefer not to say

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* 11. If you answered yes to Q10, please indicate which category/categories best describes your disability:

Hearing impairment

Visual impairment

Speech impairment

Mobility impairment

Physical co-ordination (e.g. manual dexterity/muscle control)

Reduced physical capacity (e.g. severe pain, lack of strength, breath or stamina)

Learning difficulties

Mental illness

N/A

Other (please specify)

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* 12. To help us tailor the workshop, please tell us what health and social care services you have accessed in the last 12 months:

(service)

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* 13. How did you find out about this workshop?

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* 14. Do you have any accessibility requirements for the workshop?

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* 15. Finally, please let us know if there is anything you would particularly like to gain from the workshop:

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* 16. DATA PROTECTION STATEMENT
We collect personal data in order to provide services. However, we only use these details to provide the service the person has requested and for other closely related purposes. For more information please see our Privacy Policy on the Action for M.E. website.

I give permission for Action for M.E. to process my personal data:

Yes