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Wellington Region COVID-19 Disability survey
If you have had COVID in the last eight weeks, can you please complete this survey
1.
Have you have COVID?
Yes
No
2.
Did you register your result either through the link or via the telephone number?
Through the link
Via telephone
3.
Did you advise that you have a disability?
Yes
No
4.
Did you receive a phone call or communication from your GP?
Yes
No
5.
Did you receive a phone call or communication from the COVID response team?
Yes
No
6.
Did you receive any follow up calls after the initial call to check in with your well being?
Yes
No
7.
Did you request support?
Yes
No
8.
Did you receive any support if requested
Yes
No
Not applicable
9.
Do you still need support? (If yes, please ring 0800 829 935)
Yes
No
10.
Overall, have you found the process straightforward? If not, what problems did you have?
Yes
No
Comments
11.
If you have advised that you have a Disability, but have not been followed up by either your GP or the COVID Response Team, can you please provide your name and phone number for us to contact you.
Name
Phone Number
Thank you for completing this survey.
