| Your name |
Miriam Smith |
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| Date of birth |
24 March 1955 |
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| Email address |
m.smith@inter.net |
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| Telephone number |
0191 123 1234 |
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| Are you living permanently in a care home? |
No |
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| Are you currently in hospital? |
No |
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| Do you have a job? |
|
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| Are you in full time education? |
No |
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| Do you receive a pension? |
Yes |
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| Do you receive pension credit? |
No |
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|
Which pensions do you receive?
|
Private pension
|
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| How much do you receive for your private pension? |
£123 per week |
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| Do you receive any social security benefits? |
No |
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| Are you looking after someone but can’t get carers allowance because of another benefit? |
No |
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| Does anyone receive carers allowance for looking after you? |
No |
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| Do you receive any other money? |
No |
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