Benefits. To claim or not to claim?
Exit this survey

1.

100%

1. Are you entitled to benefits?

Are you entitled to benefits? Yes

Don't know

2. Are you receiving any benefits?

Are you receiving any benefits? Yes

3. Please list any benefits you are receiving.

Please list any benefits you are receiving.

4. Did you find it difficult to claim?

	Easy	Relatively easy	Relatively difficult	Difficult
Finding out whether I was eligible	Did you find it difficult to claim? Finding out whether I was eligible Easy	Finding out whether I was eligible Relatively easy	Finding out whether I was eligible Relatively difficult	Finding out whether I was eligible Difficult
Contacting the appropriate authority	Contacting the appropriate authority Easy	Contacting the appropriate authority Relatively easy	Contacting the appropriate authority Relatively difficult	Contacting the appropriate authority Difficult
Filling in the form	Filling in the form Easy	Filling in the form Relatively easy	Filling in the form Relatively difficult	Filling in the form Difficult

Additional comments

5. If you are entitled to benefits but not claiming please indicate reasons why.

If you are entitled to benefits but not claiming please indicate reasons why.

6. Gender

Gender Male

Female

7. Age

Age 16-18

19-21

22-25

26-34

35-44

45-54

55-64

65-74

75-84

85+

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