Understanding more about the impact of cost of living in Wokingham Borough
This is a form to collect anonymous submissions from people living in areas across Wokingham Borough, to understand more about the cost of living crisis.
We want to hear from as many people as possible who are feeling the impact, or not feeling it much at all. 
In our charities and services we are seeing much of the impact, these questions are to help us understand different perspectives and experiences.
This form is being collated by Citizens Advice Wokingham, and will be shared with the Hardship Alliance, Wokingham Borough Council and other services to understand more about the impact and help shape our response. NO personal identifiable information is being sourced on this form. 
Sign in to Google to save your progress. Learn more
How worried are you about the current rises in the cost of living? e.g. higher energy bills, fuel prices, interest rates, cost of weekly shop
Clear selection
Have you had to make any changes to your expenditure so far to afford rising costs?
Clear selection
Which (if any) price rices are causing you the most concern at the moment? (choose all that apply)
Have you made any changes to your spending to combat the price rises? (tick all that apply)
Have you turned to any of the following to help you meet the cost of living? (tick all that apply)
Are there any other areas of spending you could cut back on if you had to?
Clear selection
Do you have any of the following debts which are causing you concern? (tick all that apply)
Are you regularly using borrowing/credit (such as a credit card or loan) to pay for essentials such as food or rent?
Clear selection
Has your mental health/wellbeing been negatively impacted by the cost of living and rising prices?
Clear selection
Has your physical health been negatively impacted by the cost of living and rising prices?
Clear selection
How worried are you about predicted future increases in energy prices and rising inflation?
Clear selection
Are you in receipt of benefits? (please tick all that apply)
Do you consider yourself to be disabled or have a long-term health condition?
Clear selection
Are you employed?
Clear selection
Which town or parish area do you live in?
Clear selection
What racial/ethnic group do you belong to? (we're trying to identify impact and reach)
Clear selection
Your age group? (we're trying to identify impact and reach)
Clear selection
How would you describe the impact of the cost of living crisis on you and your household?
Is there anything else you would like to add? Please add below
Help is available
PLEASE do reach out to others if you need any help. There is the One Front Door service run by Citizens Advice, to help you find support available www.citizensadvicewokingham.org.uk/onefrontdoor. There is a facebook group for community support https://www.facebook.com/groups/1131448517785513

If there are any impacts on your mental health and wellbeing please visit Mind https://www.mind.org.uk/information-support/ or services such as Samaritans and Shout
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Citizens Advice Wokingham. Report Abuse
Google Forms