Please answer the following questions if you have a disability or you are answering on behalf of someone else with a disability.
Does your long term health problem or disability limit what you can do on a daily basis?
Please select one of these options:
How does your disability or health condition affect you? Please tick all that apply to you.
Where do you live in the UK?
How old are you?
Has the Coronavirus pandemic stopped you from leaving your home?
How has the Coronavirus pandemic had an effect on your regular medical appointments or treatments?
Have you been to the hospital for treatment since March 2020?
If so, how was your care at the hospital?
How has your care and support at home changed because of the Coronavirus pandemic?
How has your disability or health condition changed because of the Coronavirus pandemic?
Have you had a conversation about end of life care since March 2020?
How comfortable did you feel talking about end of life care?
There has been lots of news about Do Not Attempt Resuscitate (DNARs) orders, have you ever had one placed on your record without your consent?
Have Do Not Attempt to Resuscitate (DNARs) orders made you feel more worried about going into hospital?
Do you think your medical needs have been thought about when deciding who would get the vaccine and when?
Do you think the Coronavirus pandemic has had an effect on your mental health?
Has the Coronavirus pandemic had an effect on your education and learning?
18. Has the Coronavirus pandemic had an effect on you work life?
Has the Coronavirus pandemic stopped you getting food and essential items?
Have you had to use a food bank as a result of the Coronavirus pandemic?
21. How did you hear about this survey?
Please tick the box to let us know where you heard about the survey.
PRIVACY NOTICE: All responses to the survey will remain anonymous. This means that no one will know what you have said.
The BBC will not ask for any of your personal information. The BBC will share the information you have provided in the survey with SmartSurvey, the third party provider hosting the survey on our behalf.
For information on how the BBC processes personal data, please go to: https://www.bbc.co.uk/news/disability-56197679 which also contains a link to an Easy Read version.