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Take A Short Survey
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Storage Heater Survey
Step 1 of 13
Which Benefit Do You Receive?
DLA / PIP
Pension Credit Guarantee
Job Seekers Allowance - Income Related
Employment Support Allowance - Income Related
NO BENEFITS - DO NOT APPLY !
What Is Your Housing Status?
Council Tenant- SORRY NOT ELIGIBLE
What Is Your Property Type*
Ground or Mid Floor Flat
Top Floor Flat With Loft
Semi Detached Bungalow
Semi Detached House
How Many Bedrooms Do You Have ?
How Old Are Your Current Storage Heaters ?
Over 10 Years Old
Over 20 Years Old
No Heaters Are Fitted
What Is Your Main Heating ?
Electric Storage Heaters
Plug In Electric Heaters
Gas Boiler & Radiators
No Heating System Present
Is Your Loft Insulation At Recommended 300 mm
Loft Was Insulated Years Ago - Free Check Please
Not Sure - Free Check Please
Loft Recently Insulated
All homes must be insulated before any heating upgrades can be carried out.
Do You Have A Gas Meter Fitted ?
No Gas Meter Fitted
We Have A Gas Meter Fitted
Your Full Name
Your Date Of Birth
Please Enter Your Postcode
Ist Line Of Address
2nd Phone Number or Email Address
How Would You Like To Be Contacted?
Best Time Of The Day To Call You
Landlord Name & Number ( If Applicable )
This field is for validation purposes and should be left unchanged.
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