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UK Commission on Bereavement
Taking part
Children and Young Peoples voices
Questionnaire 13-15
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About you
Thank you so much for your time and your thoughts. We really appreciate it. And remember, this isn’t a test and there are no right or wrong answers!
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If you’re ready to get started, please tick ALL the boxes below to give your permission
I have read and understood the information about taking part and I want to do so
I have checked with my parent or carer and they are happy for me to complete the survey
I have an adult I trust to support me as I complete it
I understand that my data will be held and processed securely by Marie Curie on behalf of the UK Commission on Bereavement in line with data protection and GDPR
I understand that my information may need to be shared with the Local Authority/Health and Social Care Board (NI) in the event of any safeguarding concerns (as above)
I give permission for my anonymised answers to be included in reports and publications. I understand I will not be named in these.
First Name
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Last Name
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Email Address
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Address 1
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Address 2
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Postcode
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Telephone number
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