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Impact of Current Weather Conditions Survey
1.
How long have you been housebound due to the current weather conditions?
Less than 24 hours
24 to 48 hours
48 to 72 hours
More than 72 hours
2.
Have you been unable to access the medication or medical support you need during the current weather conditions? Select all that apply.
Unable to access medication
Unable to access medical support
No issues accessing medication or support
3.
Does your nearest local shop have bread, milk, and eggs available to purchase?
Yes, all items available
Some items available
No items available
4.
Are you able to access the supplies you need locally?
Yes, all supplies available
Some supplies available
No supplies available
5.
If you cannot access supplies locally, how far would you need to travel to access the basic supplies you require?
6.
Do you feel confident in knowing where to access any support needed during the severe weather alert?
Yes, very confident
Somewhat confident
Not confident
7.
Do you feel that there is or has been help available from local community members?
Yes, help available
Some help available
No help available
8.
Are there any specific impacts on your household due to the weather conditions you would like us to know?
9.
What is your postcode?
