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7% of survey complete.
All the information you provide will be treated in the strictest confidence and will only be used for the purposes of showing the amount and type of housing that is needed and to keep you informed about any housing scheme resulting from this survey. If you have any queries about the survey please contact Isabel Frenzel, Rural Housing Enabler: phone 01629 761256.
Your details
In order to assess the housing need in your parish, we need some details about you and your household, including your circumstances and local connection.

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* Title

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* First name

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* Last name

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* House name/number

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* Street

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* Village/Town

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* Postcode

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* Date of Birth (DD/MM/YYYY)

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* Email

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* Phone number

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