Phase 2 – Health Conditions/Impairments by lcadesign | Jul 21, 2021 Do you have any physical or mental health conditions lasting or expected to last 12 months or more? (Choose any one option) Yes No Prefer not to say If you do have any health conditions or impairments which affect you in the following areas? Please tick all that apply. (Choose all that apply) Vision Hearing Mobility/Physical Learning Disability Mental Health Health Diagnosis Prefer not to say Other If other please specify Submit
