Our customer profiling survey

Smiling woman using a laptop

The more we know about you, the more we can offer a service that suits your needs. It’s why we carry out our survey every year, to gather a few simple facts. These facts help us to provide a better, fairer service.

So please help us to make a better home for you by filling in as many details as you can. Then simply send in your form. We’ll even enter every completed form into a prize draw.

Please remember: only one entry per household.

YOUR DETAILS * You cannot leave these parts blank
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Address
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help  *



Ethnicity Please tell us your ethnic background.
White


Mixed




Asian or Asian British



(please state)
Black or black British


(please state)
Other ethnic background





Do you consider yourself to be a refugee?


Gender


Sexuality







Religion/Belief


Disability Do you consider yourself to have a disability?


If 'Yes' please tell us about the nature of your disability, so we can ensure our service is fair and accessible:









Has your home been adapted to make it more suitable for a disabled person to live there? - for example ramps, hand-rails or a stairlift. (Answer 'yes' if it has adaptations, even if there isn't a disabled person in your home.)


 
Communication needs Please tell us if you think we need to consider your individual needs when we communicate with you.

When we write to you
If you have difficulty reading English, or you would like written information in another way, please tell us how you would like it.





When we phone you
Would you like us to use:
(If no one in your house speaks English, we can get an interpreter to translate the call)
If you need an interpreter, which language do you speak?
or would you prefer to be contacted in another way?

When we visit you, or talk with you face-to-face, is there anything we should know?




 

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Data Protection

The information you supply on this form will be sent to Parkway Green Housing Trust. It will only be used to process your request for information or the service(s) described on this page. Any details you supply will be treated confidentially and will only be used in direct relation to work needed to carry out your request.