Please complete the questions below
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Exit Survey
We just need you to complete this short survey below. As a member we will send you an online survey at least 4 times every year and a following email with the results. We will not to use your information other than for the surveys that we conduct with you and all your individual response are confidential and all data will be collected together. You can unsubscribe at any time.
We will be asking for your address but this is simply so we can allocate you to the range of geographic areas that we work on and for no other reason. We will also be asking for some basic information about you so that we can ensure that we are hearing from as many different customers as possible and can start to understand if and how different customers have different views.
To register please complete the details below
Answer
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First name
*
Last name
*
Preferred E mail
*
Street address
*
City/town/area
*
Postcode
*
Question 1. How would you prefer us to address you?
Mr
Mrs
Ms
Miss
Other
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Question 2. Please indicate your gender by selecting the correct option below
Male
Female
Prefer not to answer
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Question 3. Which of the following age groups are you in?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
*
Question 4.
Which of the following ethnic backgroundsapplies to you?
White British
White other
Mixed/multiple ethnic group]
Asian/Asian British
Black African/Caribbean/Black British
Other ethnic group inc. Arab, Chinese
Prefer not to say
*
Question 5. What best describes your household makeup?
I live by myself
Family with children
Myself and partner (no children)
Other (i.e shared)
Prefer not to say
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Question 6. Which of the following best describes the occupation of the Chief Income earner in your household?
Instruction: If the Chief Income earner is now retired, please select the answer based on their occupation prior to retirement.
Senior manager/professional in larger organisation
Senior manager/professional – small medium size company
Admin, junior manager, graduate professional
Skilled or Semi-skilled manual work
Shop work or unskilled manual work
Not working/work occasionally (including students)
Prefer not to say
*
Question 6. Which of the following best describes the occupation of the Chief Income earner in your household?
Instruction: If the Chief Income earner is now retired, please select the answer based on their occupation prior to retirement.
Senior manager/professional in larger organisation
Senior manager/professional – small medium size company
Admin, junior manager, graduate professional
Skilled or Semi-skilled manual work
Shop work or unskilled manual work
Not working/work occasionally (including students)
Prefer not to say
*
Question 7. Do you have a water meter?
Yes
No
Don't know
We would appreciate it if you could also answer the questions below. Answering "YES" will not necessarily prevent you from participating in our online panel but we may need to discuss any potential conflicts of interest.
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Question 8. Do you work for Bristol Water or Wessex Water or their subcontractors (Kier, Pelican)
Yes
No
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Question 9. Do you work for the Environment Agency?
Yes
No
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Question 10.Do you work in market research or public engagement?
Yes
No
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Question 11. Do you work
in the media?
Yes
No
*
Question 12. Have you participated in any Bristol Water research in the past 2 years?
Yes
No
Thank you for completing our registration survey. Please click on the
Done
button at the bottom of this page to ensure we receive your details.
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