Getting Involved

Involvement (please tick all that apply):

Issues which matter to you (please tick all that apply):

Antisocial behaviour
Day-to-day repairs
Home improvement schemes
Customer involvement
The environment and the appearance of areas
Accessing our services
Other (please tell us)

Title:

Name:

Address:

Postcode:

Email:

Daytime telephone:

Mobile:

What is the best time to contact you?:

AMPMEvening

About you

In order to ensure that our services are accessible by everyone, we ask if you could please answer the following equality questions. Your answers are confidential and are not used to identify individual tenants.

If you are unwilling to answer any of these questions, please tick this box and SUBMIT the form:

Gender:

Male
Female

Do you consider yourself to be disabled?:

Yes
No

Do you consider yourself to be a person with any of the following (please tick all that apply)?:

Getting Involved - WNWHL

About you