Real Lives affected by Lockdown

If you are human, leave this field blank.

Your Name *

Only your first name will be visible on the post.

Title *

Mr, Mrs, Miss, Ms, Dr, etc

Email *

Please enter and confirm your email address.

Confirm Email *

Where do you live (not your full address)? *

Just the town or village, not your full address.

Preferred way of displaying your name on this website

First name and general location

Full name and general location

Title, Surname and general location

First name and ‘near Louth’

First name and ‘in Louth’

Title, Surname and ‘near Louth’

Title, Surname and ‘in Louth’

How has your life been impacted? *

Negatively

Positively

Not much at all

Summary of impact the lockdown has had on your life. *

This is also the title when viewed by others

Describe the impact on your life. *

Some questions that may help you write about how the lockdown has affected you.

Do you live alone or with family?
How has home life changed?
Do you have children who’ve had to miss school or 16 year olds that have had to miss exams?
Have you yourself had symptoms of the corona virus and, if so, were you tested?
Has anyone in your family been ill with the virus?
If so did they have to go to hospital and have they recovered?
If you or anyone in your family is a vulnerable person, did you get the advice and help you needed?
Have you managed to shop for essential items or have them delivered by a volunteer?
Have you yourself or anyone in your family been able to volunteer, helping others?
Do you work in the NHS and if so how has life been on the frontline?
Have you been able to keep your job, work from home, been furloughed or lost your income?
Has the government business bailout package helped your situation or have you fallen through the gaps?
Has the business you worked for been able to survive so far and will you have a job to return to?
During lockdown, have you been getting out for some exercise, have you spoken to friends and family and have you spent the time learning anything new?
If you or anyone in your family struggle with mental health issues like depression and anxiety, how has lockdown affected it?

Yes

Please read the Privacy Policy before submitting this form.