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Feedback questionnaire Questions for Wilhemina

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This could include brisk walking, cycling to get to and from places, exercise or sport.

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If yes please could you tell us what type of disability Wilhemina has? Tick all that apply. *
e.g. due to blindness or partial sight
e.g. due to deafness or partial hearing
such as difficulty walking short distances, climbing stairs, lifting, and carrying objects.
Learning or concentrating or remembering
Mental health
Stamina or breathing difficulty
e.g. due to neuro diverse conditions such as Autism, Attention Deficit Disorder or Asperger’s Syndrome
Other disability
Prefer not to say

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