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* 1. Q1. What is your name?

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* 2. How old are you?

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* 3. What are you doing at the moment?

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* 4. Would you like help with any of these?

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* 5. Do you get help with learning or health?

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* 6. Would you like help understanding your health or learning needs?

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* 7. How would you like to talk to the Family Support Worker?

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* 8. What is something you’re proud of?

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* 9. What are your goals or dreams for the future?

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* 10. Is there anything else you’d like to say or ask?

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* 11. Would you like the Family Support Worker to contact you?

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