Please provide as much information as you can. If you have any difficulties filling out this form please contact us using the details at the bottom of this page.
Your details

* 1. Title

* 2. What is your first name?

* 3. What is your surname?

* 4. Address

* 5. How would you like to be contacted in the future?

Data Protection: We treat any personal information you provide in confidence under the Data Protection Act 1998 and only use it for a legal reason or the purpose for which is has been given. We may publish aggregated data which will not include personal details but may for example include the level of interest in a particular parish.

We may also pass your details on to landowners who have identified suitable sites that match your requirements. We cannot pass this information on to a third party without your written consent.

* 6. Please indicate your agreement for us to pass your information on.

* 7. I am over 18 and a citizen of the European Economic Area (please tick):

* 8. Are you part of a group or association? If so please give details including contact details:

* 9. How interested are you in owning your own custom or self build home?

* 10. Do you have any local connection to the North York Moors National Park Authority Area?

* 11. What type of custom or self or custom build project are you seeking to carry out?

* 12. Please write below all the area(s) you would be interested in (within the National Park):

* 13. What size plot are you looking for? Please write below the approximate area in square metres:

* 14. What type of house would you be looking to build?

* 15. How many bedrooms would you prefer?

* 16. Would you consider a self build plot as part of a larger new build development?

* 17. How soon can you start building?

* 18. How do you intend to finance your home?

* 19. Do you already have a plot for your project?

* 20. If you already have a plot in mind please provide details

* 21. Please let us know the date you completed this survey. Thank you for your time.

Date / Time
Thank you for completing this form. It should be returned to the North York Moors National Park Authority at:

The Policy Team
North York Moors National Park Authority
The Old Vicarage
YO62 5BP