: intouch 100 club questionnaire

New intouch 100 club questionnaire form entry

please choose the way(s) you would like to give us your views:

1 Questionnaires

2 Telephone Surveys

3 Focus Groups

4 @home Newsletters

5 Customer Inspections

6 Home Visits

7 E-Mail or Text

your name

your address

postcode

telephone

mobile

email address

what is the best time to contact you? (please tick)

I would describe myself as: (please tick)

gender

age

ethnicity

do you consider yourself to be a disabled person? (please tick)

employment status (please tick)

which local management trust area do you live in