Criteria: Secondary
Do you (or Partner) have parental responsibility for a child under the age of 5 years who lives with you?(Required)
Yes
No
Please provide an answer
Do you (or Partner) receive Disabled Child Premium/Element?(Required)
Yes
No
Please provide an answer
Do you (or Partner) receive Disability or Enhanced Disability Premium?(Required)
Yes
No
Please provide an answer
Do you (or Partner) receive Pensioner Premium or Higher Pensioner Premium or Enhanced Pensioner Premium?(Required)
Yes
No
Please provide an answer
Do you (or Partner) receive Limited Capability for work element with or without Work Related Activity element?(Required)
Yes
No
Please provide an answer
Are you (or Partner) In receipt of State Pension?(Required)
Yes
No
Please provide an answer
Do you (or household member) require constant care?(Required)
Yes
No
Please provide an answer
Do you (or household member) rely on mains powered medical equipment?(Required)
Yes
No
Please provide an answer
Do you (or household member) suffer from long term/chronic ill health or mental illness?(Required)
Yes
No
Please provide an answer
Do you (or household member) receive disability benefits or are registered disabled?(Required)
Yes
No
Please provide an answer
Are your household fuel bills for heating more than 10% of gross annual household income?(Required)
Yes
No
Please provide an answer