Improving Leasehold Services Applicant details Question Title * 1. What is your name? Question Title * 2. What is your address? Line 1 Line 2 Line 3 Line 4 Question Title * 3. What is your contact number? Question Title * 4. What is your email address? Question Title * 5. Are you a Non Resident THH Leaseholder? Yes No Question Title * 6. Do you consider yourself to have a disability? Yes No Prefer not to say Question Title * 7. Are you a Tower Hamlets Homes/Tower Hamlets Council employee? Yes No If yes, what is your job title? Question Title * 8. Are you related to a Tower Hamlets Councillor/Tower Hamlets employee or a Tower Hamlets Homes employee? Yes No If yes, please provide their name and details of their role? Next