eQuality Homes Survey

1. eQuality Homes Survey

Note: The information you provide helps us to develop the right housing according to what people want and need.

Question Title

* 1. I am over 18 years of age.

Yes

Question Title

* 2. Please enter your details below.

Full Name

Address

Address 2

City/Town

County

Post Code

Email Address

Phone Number

Question Title

* 3. Are you a resident of, or have a local connection to, the Upper Eden or Upper Lune area?

Yes

Question Title

* 4. Are you interested in finding out about a new home for yourself?

Yes

Question Title

* 5. Are you interested in finding out about a new home for someone else?

Yes

If you are finding out about a home for someone else, please ensure they are happy for you to complete this survey on their behalf and enter their relationship to you in the box below (i.e. son, daughter, etc.).