First Name *

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Phone *

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Your Address

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City

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Yes

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Are You Looking For Business Or Domestic Information?

Business

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Company Name *

Do You Have A Website? *

Yes

What Is Your Website Address?

Business Support

Did you know there are Grants available for Websites, Digital Transformation & Navigating Business Regulations?

Would you like to check if you qualify?

Grant Information *

Yes

Housing Section

What is your current housing situation?

Are you behind on rent or at risk of eviction? *

Yes

Employment & Income

Are you currently working?

Yes

Is your work:

Roughly how much do you earn per year?

Care & Disability Support

Do you consider yourself disabled or living with a long-term condition?

Yes

Do you care for someone else in your household?

Yes

Digital Access & Skills

Do you have regular access to a smartphone or computer?

Yes

Would you like help with learning how to use tech or get online?

Yes

Education & Training

Would you like help with any of the following? *

Finding free courses or adult education

Learning a trade (plumbing, beauty, electrician etc.)

Improving computer or digital skills

Starting your own business or working from home

Earning qualifications for employment

Not sure, but I want to explore options

Family Support

Do you need help or advice with any of the following family-related matters?

I have children or dependents living with me

I’m a single parent or the main carer in the household

I may need help with school meals, uniforms, or other child-related costs

I would be interested in family grants or household support schemes

I care for someone else full-time (child or adult)

None

Low Income & Financial Strain

Are you experiencing any of the following financial difficulties?

I’m struggling to afford basic needs (food, heating, essentials)

I’m behind on Council Tax or priority bills

I’ve recently lost work, income, or benefits

I don’t think I qualify for anything, but I need help

I’m interested in budgeting support or debt advice

None

Elderly Support

Would you like help, information, or support for yourself or an elderly family member?

I’m over the age of 65

I care for an elderly relative

I need help with Attendance Allowance or pension-related benefits

I’d like advice on home adaptations or mobility equipment

I’m worried about loneliness or staying connected

I’d like help with heating costs or winter support

None

Elderly Care Needs

Living Situation