Hither Green Paid Focus Group Opportunity

Wednesday 3rd February, 7:30 - 9 pm, venue tbc

Thank you for expressing your interest in attending this focus group session. The 1.5 hour session is for residents of Hither Green and Lee to explore your interest in home improvements. Participants will be thanked with a £30 cash gift to attend.

Before we can register you, we would like to know a little about yourself through this short survey. Please answer as many of the questions as accurately as possible. All data submitted will be kept confidential and used only by London Sustainability Exchange and its partners, the London Borough of Lewisham and Future Climate. Thank you for taking the time to complete this survey. We'll be in touch soon to confirm your place in this group.

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* 1. What is your name?

Title

First name

Family name

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* 2. What is your postcode?

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* 3. How can we contact you?

Telephone no.

Email address

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* 4. What is your age group?

17-20

21-29

30-39

40-49

50-64

65 or older

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* 5. Which of the following categories best describes your employment status? Are you:

Employed, working full-time

Employed, working part-time

Self-employed or freelance

Doing another kind of paid work

Doing unpaid work

Disabled, not able to work

Unemployed

Fully retired

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* 6. Which of the following best describes your household?

Single person

Single person with dependent children

Single person with children who are no longer dependent

A couple with no children

A couple with dependent children

A couple living with children who are no longer dependent

Other (please specify)

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* 7. Is your accommodation

Owned outright

Owned with a mortgage or loan

Part owned and part rented (shared ownership)

Rented (with or without housing benefit)

Rent free

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* 8. Is your accommodation:

Detached

Semi-detached

Terraced (including end-terrace)

Flat (converted)

Flat (purpose-built)

Caravan, houseboat or other mobile or temporary structure

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* 9. At your present home, have you already carried out any of the following major home improvement work? Please tick as many as apply:

Extension/loft conversion/new kitchen/new bathroom

Energy efficiency measures e.g. double glazing, loft insulation, cavity wall insulation, new boiler, etc.

None of the above

Other (please specify)

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* 10. Please select an answer to the following statements:

	Yes	No	I haven’t thought about this
I am considering home improvement work, e.g. a new kitchen or bathroom, new central heating extension, or loft conversion.	I am considering home improvement work, e.g. a new kitchen or bathroom, new central heating extension, or loft conversion. Yes	I am considering home improvement work, e.g. a new kitchen or bathroom, new central heating extension, or loft conversion. No	I am considering home improvement work, e.g. a new kitchen or bathroom, new central heating extension, or loft conversion. I haven’t thought about this
I am considering making changes to make my home more energy efficient eg new boiler, loft insulation	I am considering making changes to make my home more energy efficient eg new boiler, loft insulation Yes	I am considering making changes to make my home more energy efficient eg new boiler, loft insulation No	I am considering making changes to make my home more energy efficient eg new boiler, loft insulation I haven’t thought about this