General information

Which region are you in?

How many people are you helping? (with issues of social security, employment and cost of living)

Please tell us how many people you are helping

In your experience, are benefit rates appropriate?

Tell us more about your experience of supporting people access benefits (Is it easy to claim benefits? Is the amount enough to live on? Please tell us more using your own words)

Please tell us which are the barriers people face when looking for work (in your experience)

Please tick all that apply

Low salary

High childcare costs

Insecure/ zero-hour contract

Not enough hours

Discrimination

Other

None

Please give details

Did the person/people you helped have issues paying for any of the following in the last 12 months?

Tick all that apply

Food

Rent

Household bills (gas, water, etc.)

Council tax

Baby/children products

Childcare

Transport

Other

None

Please give details

Individual case details - please share more details about one of the people you have helped

Please tell us which benefits the person/family you are helping are claiming? (if any)

Tick all that apply

Universal Credit

Employment Support Allowance

Personal Independence Payment

No Recourse to Public Funds (NRPF)

None

Other

Please give details

Did the person struggle to pay for any of the following items in the last 12 months?

Food

Rent

Household bills

Council tax

Baby/children products

Childcare

Transport

Other

None

Please give details

What is the person's employment status?

What is the person's housing status?

What is their age?

What is their ethnicity?

Does the person have any dependents?

How many?

Is there anything else you would like to tell us about the person's case?

Your details

Your First name

Your Last name

Your Email address

Your Phone number