Connected Communities Socially Isolated Festive Provisions 2026 Survey

This year we are looking to support individuals in the community during the festive period. As part of this we will be providing Christmas plated meals and New Year steak pies for those who require it. Plated meals will be delivered on 23rd December and steak pies on 31st December. If you require any other support please do not hesitate to get in touch with the Pennypit Family Learning Centre 01875 819635

1.Name(Required.)

2.Address(Required.)

Line 1

Line 2

Town

Post Code

3.Email(Required.)

4.Phone number(Required.)

5.Number in property(Required.)

6.Plated meal(Required.)

Yes

7.New Year steak pie(Required.)

Yes

8.Does anyone in the household have any allergies?(Required.)

9.Any other additional notes(Required.)

10.Referrer name if completing on behalf of individual(Required.)

11.Referrer contact details(Required.)

12.Please tick to confirm that the person you are referring is aware of referral and consents to receiving the above festive provision(Required.)

Aware and consents

Self-referring

We value your participation and seek your consent to use your contact information for festive related support.

Any information (including photo, video and audio) we have of you will be held in accordance with the General Data Protection Regulations (GDPR). The personal data collected on this form will be held securely and only used for administrative purposes relating to your consent. This information will be shared with partner organisations for the delivery of said festive provision.

You have a right to request a copy of the information we hold on you and request corrections or deletion of it.

For more information on East Lothian Councils privacy policy please see our website https://www.eastlothian.gov.uk/info/210598/access_to_information/12340/privacy_and_cookies