This survey is to gain an impression of the views and experiences of EU citizens living in Westminster North. It will, of course, be treated as completely anonymous and in confidence.

If there are any issues you would like to raise with me as your MP please email buckk@parliament.uk or call my office 0208 968 7999. You can also write to me at the House of Commons London SW1A OAA.

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* 1. I am:

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* 2. How long have you or the person you know been resident in the UK? If you know more than one person choose the longest time.

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* 3. If you can, and without giving your name, please describe yourself in a single sentence.

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* 4. Has the Referendum result, and what has happened since then, affected your health (or that of your family member or friend)?

Not at all To some extent To a very great extent
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i We adjusted the number you entered based on the slider’s scale.

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* 5. If applicable, has the Referendum result, and what has happened since then, had a detrimental effect on the health of your children?

Not at all To some extent To a very great extent
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 6. Has the Referendum and what has happened since affected your paid or voluntary work?

Not at all To some extent To a very great extent
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i We adjusted the number you entered based on the slider’s scale.

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* 7. Since the Referendum have you, or anyone you know, had any negative experiences linked to EU nationality?

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* 8. In relation to EU nationals, how happy are you with the way the Government has handled the result of the Referendum?

Very happy Have some concerns Extremely unhappy
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i We adjusted the number you entered based on the slider’s scale.

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* 9. Do you support the proposals made by the Government on 26 June about EU nationals?

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* 10. If you are not happy about the Government's proposals, which aspects are you concerned about? Choose all that apply.

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* 11. My party's policy is to immediately guarantee existing rights for EU citizens and for this to also apply to UK citizens living in the EU. Do you support this?

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* 12. Do have any other comments or suggestions?

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* 13. Thank you for completing this survey. You do not have to provide your name and address but its helpful if you would like me to keep in touch with you about this or any other matter.

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