Thank you for taking the time to complete this survey on poverty and hardship. Your responses help us to identify and understand the challenges families are currently facing. Your responses to the questions will remain anonymous and you will have the chance to win a £30 shop voucher for your participation. Thank you for your contribution.
About You:
Which area do you live in?
Sunderland
South Tyneside
Durham
Newcastle
Gateshead
North Tyneside
Other
If other, please state:
What best describes your gender?
Male
Female
Transgender
Prefer not to say
Other
If other, please state your preferred term
What is your marital status?
Single
Engaged
Married
Co-habiting
Divorced / separated
Widowed
Prefer not to say
Other
If other, please state your preferred term
Age
18 - 24
25 - 29
30 - 39
40 +
How long have you been a resident of this community?
Less than 6 months
Between 6 months - 1 year
Between 1 - 3 years
Between 3 - 5 years
Over 5 years
How many people (including yourself) live in your household?
Is anyone in your household in paid employment?
Yes
No
If yes, are they paid at least the Real Living Wage (£9.90 per hour)?
Yes
No
Do you, or anyone in your household, receive benefits?
Yes
No
If yes, please tick which benefits are received
Universal Credit
Child Benefit
Personal Independence Payment (PIP)
Maternity Allowance
Carers Allowance
Other
If other, please state which you recieve:
Do you think your income is sufficient to cover your basic needs?
Yes
No
If no, please explain why you feel this way:
What do you think it means for a person to be living in 'hardship' or 'poverty'?
Do you consider yourself to be living in poverty?
Yes
No
If yes, please explain why you feel this way
Has the COVID-19 pandemic impacted your financial status / your income?
Yes
No
If yes, please explain
If you have been furloughed during the COVID-19 pandemic, please tell us, if in any way, how this affected you and your family:
Have you been affected by the rising costs of living?
Yes
No
If yes, please tell us about the affect it has had for you:
Have you made changes to how you spend money since inflation rates increased the cost of living?
Yes
No
If yes, please tell us about the changes you have made:
Please tick if any of the following statements apply to you:
I am no longer able to buy the products I used to
I go to different shops to buy the cheapest products
I have changed the way I pay my bills (e.g., pay via direct debit rather than in full payment)
I avoid taking my children to the shops to prevent overspending on items they ask for
I am now in debt due to rising bills
I walk or use public transport more to reduce costs of fuel
I have made changes to the amount of electric or heat I use to save money
I go without to pay for items for my children
The cost of childcare stops me from being able to work or doing the job that I want to do
I have reduced the amount of paid childcare due to cost
Other
If other, please explain. Please use this space to tell us more about any of the statements you have ticked above
Has the rising cost of living had an impact on your children?
Yes
No
If yes, please tell us about the impact it has had:
Do you feel there are enough free, local activities and support for children?
Yes
No
I am not sure what is available and would like to be contacted with more information
Have you used services such as a food bank or baby bank over the last 2 years?
Yes
No
If yes, please tell us about the service you used and the impact it had:
Are you aware of funded schemes to support people on low income, such as healthy start vouchers, energy bill support scheme?
Yes
No
I am not sure what is available and would like to be contacted with more information about the support available
Please tell us what services or support you would like to see in your local area to support families
If you would you like to be contacted to discuss your answers on this survey, or have asked for more information, please share your preferred contact details with us:
Thank you for taking the time to complete this survey. If you would like to be entered in to the draw for a chance to win a £30 shop voucher, please share your email address below.
example@example.com
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