If you are interested in potentially giving evidence at the Covid Inquiry as a Module 4 witness, please complete this webform.

Throughout the course of the Inquiry, we have been persistent in our efforts to persuade the Chair to hear directly from you, the bereaved families. We have made this argument for every module, and we continue to make this argument for Module 4, which will examine the role of vaccines and therapeutics.

To that end, we are appreciative that you have taken the time to answer this survey. The survey itself is split into two parts, the first part is designed to help us learn more about your connection with the key issues in Module 4, and the second is your opportunity to share more details from the story of you and your loved one.

A summarised list of the key issues our team have identified in this module can be found further down this page. However, if you have access to our Egress platform, a full version can also be found here. You may also find it helpful to read the full scope of issues that the Inquiry have provisionally identified for Module 4, these can be found by clicking here.

A member of our team may be in touch with you to clarify or expand upon any account you provide to us. If we submit your account to the Inquiry, it will be a matter for the Chair to decide who, if any of our clients are called to give evidence at the Inquiry.

Regardless, as always, we are incredibly grateful for your assistance

Case references start with a letter e.g. A123456.001

Part One: The following optional questions relate to the key issues in Module 4.

Do you believe your experiences of loss during the pandemic were connected to any of the below key issues we have identified? If yes, please select each relevant box (optional)
Were you or your loved one invited to take part in any clinical trials during the pandemic? (optional)
Were you or your loved one made more vulnerable to Covid-19 by either of the below? (optional)
Were the experiences of you and your loved one informed by any of the below protected characteristics? (optional)

Part Two: The following questions relate to your story and willingness to be a witness in Module 4.

Have you participated in the Inquiry’s Every Story Matters campaign? (*)
If the chair allows it, would you be willing and available to give oral evidence during the Module 4 evidential hearings in January 2025? (*)

Thank you once again for sharing your thoughts and your story with us.

If you have completed this survey, please click submit.