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* 1. The name of your organisation/group

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* 2. Are you able to take on new service users at the moment?

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* 3. Has the Coronavirus outbreak meant you have had to stop providing services? If so which ones?

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* 4. What existing services are you continuing to deliver?

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* 5. Are you delivering new services as a result? If so please state

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* 6. Are you funded for your current activities?

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* 7. If yes or partly, roughly how long do you think your funding will last for?

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* 8. Does your organisation need any support to continue providing services to your clients?

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* 9. Are you aware of any significant gaps in service in your community? If yes please advise

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* 10. Are there groups of people you work with who you think will need new or extra support as a result of the coronavirus? If yes, please describe which groups they are and why the situation will be a particular problem for them?

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* 11. Do you need extra volunteers during this time?

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* 12. Does your organisation have volunteers who can be resourced/redeployed during this time?

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* 13. What are the most urgent issues/concerns for your organisation right now?

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* 14. What effect do you think the Coronavirus will have on your organisation (both short term and long term)

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* 15. Are there any areas of support that you would like from Hull CVS?

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* 16. If Yes, please leave your contact details below

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