Self-assessment Survey 3

Tackling Covid-linked Health Inequalities in North Central London

Long COVID and Digital Inclusion Project

Name and Surname*
DD slash MM slash YYYY
Programmes Needed*

On a scale of 1 to 10, where 1 is dreadful and 10 is excellent, how would you rate any change in your life since attending Long COVID and Digital Inclusion Project sessions?

1) I made new friends*
2) I feel more social*
3) I feel less lonely*
4) I am less stressed than before*
5) I am physically more active than before*
6) I am more independent than before*
7) I can use computer and internet more confidently than before*
8) I can have access to online resources much easier than before*
9. I improved my English skills*
10) My children excelled in their school subjects (if applicable)*
11) My Children feel more social*
12) My children feel less stressed than before*
Terms and Conditions*