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- Are you a Unite member?*
- Are you a Retired Members Plus member?
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- Would you describe yourself as... [Please tick all that apply]*
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- Do you, or the person(s) you are supporting/have supported qualify for government financial support for care?
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- Have you had to make significant financial decisions regarding assets, like a house or car, that belong to you or your loved one(s) in order to cover the cost of care?
- Are you satisfied with the cost of the care you/your loved one(s) receive(d)?
- Would you support a lifetime limit on the amount an individual can spend on their care (e.g. £50,000 per person)?
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- Are you satisfied with the quality of care you/your loved one(s) receive(d)?
- Are you satisfied with the accessibility of the care you/your loved one(s) receive(d)? Has it been easy to access the care that's needed?
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- Who provided care to you/your loved one(s)? [Please tick all that apply]:
- Have you or your loved one(s) care been negatively impacted by local authority cuts? [Please tick all that apply]:
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- Happy for Unite to use your survey response and story as part of policy forum submissions, such as the Casey Commission in England?*
- Happy for Unite to use your survey response in social media and communications?*
- Happy to be contacted by Unite for this campaign in future?*
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- Should be Empty: