About You

Thank you for completing the Haemophilia Scotland PIP Survey.  We have tried to use a mixture of multiple choice questions and free text so that the survey doesn't take too long to finish but you still have a chance to say what you want to about PIP.  Not all the questions in the DWP consultation are in this survey; if you'd like to complete them all please make an individual submission on the UK Government website.

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your email address?

Question Title

* 4. What is your telephone number?

Question Title

* 5. Are you a member of Haemophilia Scotland?

Question Title

* 6. Which of these statements comes closest to describing you?

Question Title

* 7. What is your experience of Personal Independence Payments (PIP)?

T