All questions are required 1. Over the last 12 months, would you say your vision has: Stayed the same Become a bit worse Become a lot worse Improved 2. In your own words, please describe a situation in the last 12 months where you felt some support would have made your life run a bit smoother. 3. Thinking about the next 12 months, what would help you to live life on your terms? Some support and encouragement Growing connections and confidence Exploring something new Achieving a lifelong goal About you First name Last name Email address Phone Leave this field blank Services
