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

First line of street address *

Household Name *

This can be the same as the first line of your street address

Second line of street address

Town / City *

County

Postcode *

Telephone number *

Email address *

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.

I agree

I disagree

Are you the owner/occupier of the house? *

Yes

What is your relationship to the house?