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Submission form for the LLR VCSE Alliance to feed into LLR Insights, Behaviour and Research Hub
Would you like to share insights about the community you work with? Do you have information that could help us better understand your community’s wants, needs and opinions? If so, please upload the insights using this form and we will save them in the Leicester, Leicestershire and Rutland (LLR) Insights, Behaviour and Research Hub. Our colleagues across the local NHS will then be able to access your community insights when they are improving or designing services.
Which voluntary, community or social enterprise (VCSE) organisation do you work/volunteer for?
In case we need to contact you about the insights you have shared, please provide your contact details.
First Name
Last Name
Phone
Email Address
When and where was this community insight collected? (E.g. event and date)
If this question is not applicable to your insight, please skip to the next question
If applicable, please tell us which NHS service the insight covers (e.g. primary care).
Which topic/s does the insight cover? (Tick all that apply)
Please note, the next question asks which specific
community
your insight covers, such as LGBTQ, elderly, African, etc.
Advocacy services
Asylum seekers
Bereavement
Carers
Covid related support
Dementia
Disabilities - Hearing Impairment
Disabilities - Learning Disabilities
(if specific learning disability, please tell us)
Disabilities - Visual Impairment
Domestic Abuse/abuse
Drug and Alcohol use
Education
Employment
Foodbanks and deprivation
Homelessness and rough sleepers
Long Term Conditions
(if specific long term condition, please tell us)
Looked after children
Mental Health
(if specific mental health condition, please tell us)
New to the UK
Physical Fitness and Nutrition
Pregnancy and Maternity and young mothers
Refugees/vulnerable migrants
Social care
Social deprivation
Veterans
Wellbeing
Other
(if specific, please tell us)
Which specific community/ies does the insight cover? (Tick all that apply)
African
Arabic
BAME
Bangladeshi
Caribbean
Children and young people
Chinese
Eastern and central European
Elderly
Faith/religion/belief group
Gypsy/ Traveller
Indian
LGBTQ+
Men
Pakistani
Polish
Somali
South Asian
Sylheti
Women
Other
Please specify
Which geographical area/s does the insight cover? (Tick all that apply)
Leicester
Leicestershire
Rutland
National/regional
Town/village or neighbourhood
Please tell us which town, village or neighbourhood
Other
Please tell us where
If you would like to submit the insight as 'free text', please type or paste it using the space below. Alternatively, the next question will allow you to upload a document.
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