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How do you spend your DLA?
1. Your details
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1
. Please fill in your details here:
Please fill in your details here:
Name:
House Number:
Street name:
Town:
County
Post Code:
Country:
Email Address:
Phone Number:
2
. Please tell us if you are:
Please tell us if you are:
a person with a learning disability
filling this out on behalf of someone with a learning disability and/ or a family carer of someone with a learning disability
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3
. Are you over 18? (For people filling out the survey on behalf of someone else, are they over the age of 18?)
Are you over 18? (For people filling out the survey on behalf of someone else, are they over the age of 18?)
Yes
No
4
. We would like to keep in touch with you about this survey and about Mencap's news and campaigns. Please note, if we use your examples for our campaigns work, we will not use your name without your permission.
We would like to keep in touch with you about this survey and about Mencap's news and campaigns. Please note, if we use your examples for our campaigns work, we will not use your name without your permission.
Please tick here if you are happy to be contacted about your answers.
Please tick here if you want to receive news about Mencap and updates on our campaigns work.
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