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* 1. What is your name and address, including postcode?

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* 2. Are any people in your household likely to want to save energy costs by visiting a Warm Hub?

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* 3. If yes, how many people?

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* 4. How often do you think you would like to visit a Warm Hub?

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* 5. Will you need transport to help you travel to a Warm Hub?

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* 6. Whether or not you would like to attend a Warm Hub, are you prepared to volunteer to help?

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* 7. Are you able to provide transport for others?

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* 8. Are you prepared to drive other vehicles to transport people?

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* 9. Data protection:
By completing this survey, you agree that Great Ness & Little Ness Parish Council may collect/manage your personal data under the Data Protection Act 2018 and the General Data Protection Regulations 2018, for the purpose of facilitating access to a Warm Hub, in accordance with our Privacy policies, which can be found online at http://www.greatnessandlittlenessparishcouncil.org/. We will not use your data for any other purpose, but we may need to share your contact details with volunteers to arrange transport to Hubs if you have requested this.

Do you agree to Great Ness & Little Ness Parish Council processing your data as described in Q9?

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