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Survey Around Cost of Living Crisis in St Helens

We’d like to hear about your experiences during the cost of living crisis and how it has impacted your health & wellbeing.

1. Are you completing this survey for yourself or someone else? (Please tick one)

Myself

Someone Else

2. Have you ever struggled to attend a health appointment because of how much it cost to get there? (Please tick one)

Yes, I have missed one or more appointments because of the cost of getting there.

Yes, I attended but the cost of getting there was a problem for me.

No, I have not missed an appointment or worried about the cost of getting there.

I have not needed to attend a health appointment.

3. Have you ever chosen not to have a prescription filled because you were struggling to pay for it? (Please tick one)

Yes, I have not had part or all of my prescription filled because I would struggle to pay for it.

No, I have never not had a prescription filled because of the cost.

I have not needed any medication.

4. Is the cost of living directly affecting your health or wellbeing, including your mental and emotional health? (Please tick one)

Yes

4a If yes, how has it affected you?

5 How do you think you will be affected this winter? (Please tick one)

I don’t expect to have any problems

I expect to be worried about paying bills

I will be cutting back on what I spend on food

I will be cutting back on heating my home

I will not be able to see friends or family

6. What would help you most? (Please tick which apply) Help with…

Prescriptions

Transport

Social support

Fuel vouchers

Food vouchers

Mental health support

Other (Please specify below)

6a Other

Postcode

Age

Disability

Thank you for completing our cost of living survey, to submit your details, please use the submit button below.

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Survey Around Cost of Living Crisis in St Helens

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