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Heads up – this isn’t your housing application form! To apply, you’ll need to register here: Housing Register - Blaenau Gwent

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Your password must contain 8-16 characters with at least 1 number, 1 lower case and 1 upper case letter

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More about you

Completing the next 10 questions in the personal details section of this survey will help us learn how well the views, opinions and insight gathered reflects the views of all our customers. If you choose to provide the information it will be linked to your email address, and stored confidentially in our customer involvement data base ( Llais ein pobl ), and in accordance with UK GDPR and our privacy notice. The data you will provide will be collected for the purpose of anonymously reporting survey findings by customer group to help us monitor equality of opportunity or treatment. If you consent for us to hold this information, you can withdraw your consent at any time by emailing Steve Wetten at Steven.Wetten@taicalon.org

Mobile number

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Do you live in a Tai Calon home?* required

What is your age?

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Area you live* required

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Every day is a struggle for me

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I cope well when things get difficult in my life

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I tend to ignore letters or emails that look official

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I am very good at managing the money that I have

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I am very happy with my life as it is

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I feel anxious most of the time

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Do you use a mobility aid?

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How much difficulty do you encounter when walking or climbing stairs? 1=I have no difficulties with this; 5=I have a lot of difficulties with this Walking or climbing stairs

Which best describes your current employment status?

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I consent to you using this information in the above section (more about you) to allow Tai Calon to anonymously report engagement and consultation findings by customer group as part of Tai Calon’s monitoring of equal opportunities and treatment . I am aware I can withdraw my consent at any time.* required

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