| Have you ever been assessed for care? |
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| Is there any reason you know why you would need to enter care within the next 6-8 months? |
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| Have the laws relating to DDA been explained to you by your advisor? |
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| Would you class yourself as a vulnerable person? |
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| Do you consider yourself to be compos mentis and of sound mind? |
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| Would you like Henceforth Trust to consider you for a PRIORITY (Fast Track) application? |
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| Postcode & House Number |
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