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H.1564-0719 Blue Badge 2

You are about to fill in a short survey which will help determine your suitability to this research project. Please be aware that all data you provide us with will be held in accordance with the data protection policy outlined on our website. For further information please visit https://www.healthcareopinions.co.uk/privacy-policy/

(This question is mandatory)
What is your name, contact number and email address?
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Please tell us your age.
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Are you...
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What is your working status?  
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If applicable, what is your occupation? 
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Are your details currently registered with us? If you haven't, please do so here http://https://www.healthcareopinions.co.uk/
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Do you or any of your close friends or relatives work in any of the following industries?
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Do you or someone you provide care and support to (can be a family member or close friend) have any of the following conditions, illnesses or disabilities?
(This question is mandatory)
Does this impact yourself /friend or family member in any of the following ways?
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If you/your relative/friend would be eligible for a Blue Badge, would you be the person completing the application for yourself/on behalf of your relative/friend?
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Are you/is the person you provide care for in receipt of any of the following benefits?
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In the 'planning and following journeys' activity of their assessment, how many points did they score?

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Which of the following was the 10 point score for?
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What did you/they score in the 'moving around' activity of their assessment?
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Are you/they in receipt of the higher rate of the mobility component?
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Do you/your relative currently have a Blue Badge?
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Are you willing to be observed, recorded and filmed during the session?
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To your knowledge, have you taken part in a market research study for Valtech in the last 12 months?
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Thank you for answering these questions. Please could you confirm who you have answered the above questions about?
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We are conducting this study both in participant's homes and also in a central location. Please can you advise on the type of session you would be able to do? (Please select all that apply to have the most chance of your research application being successful)