Page 1 of 6 At homeWhat would be would be useful to you at home?*You can select more than one Where to buy equipment / adaptations Care and support in your home Finding somewhere to live Remaining independant Staying safe Eating well Help with shopping Looking after a pet Other Please tell us more about what other information would be useful? Page 2 of 6 Getting out and aboutWhat would be would be useful to you when out and about?You can select more than one Clubs and activities Day settings or places to go Transport and mobility Carer support Staying safe Other Please tell us more about what other information would be useful? Page 3 of 6 Health and happinessWhat information and advice would help you maintain a healthy and happy lifestyle?You can select more than one Staying healthy Eating well Recovery Emotional wellbeing Friendships and relationships Sexual health Addiction support Support groups Other Please tell us more about what other information would be useful? Page 4 of 6 Work and educationWhat information would you like to see around work and educationYou can select more than one Opportunities to learn or train Support during education Who to talk to about finding a job Volunteering opportunities Other Please tell us more about what other information would be useful? Page 5 of 6 Living wellEhat information would be useful to you about day to day livingYou can select more than one Assessments for care Who to contact Benefits and money Your rights Help with legal matters Who will speak on my behalf Other Please tell us more about what other information would be useful? Page 6 of 6 Any other suggestionsIs there anything else you would like information or advice about? Yes No Please tell us more about what other information would be useful?CommentsThis field is for validation purposes and should be left unchanged. Δ