Domestic Retrofit Survey

1 Start 2 Section 2 3 Section 3 4 Complete

We just need to get some basic information from you first...

First Name *

Last Name *

Title

Household Name *

Street address *

This may be the same as the Household Name

Town / City *

Postcode *

District council

Telephone number *

Email address *

What is your relationship to the house? *

Select your preferred assessment type *

Remote Assessment and Whole House Plan

Onsite Assessment and Whole House Plan

Your data *

Your data. Please tick to agree to sharing your data with project partners, in order to connect you with a Retrofit Coordinator and deliver the service. We promise we’ll never sell or share your data with any external party. The full Privacy Statement can be read here: www.lowcarbonhub.org/privacy-statement The Low Carbon Hub Community Interest Company is the Data Controller for the Cosy Homes Oxfordshire service.

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