Please complete the questions below
Questions marked with a * are required 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
* 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
 
 
 
 
* Question 2. Please indicate your gender by selecting the correct option below
 
Male
 
Female
 
Prefer not to answer
 
 
 
* 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
 
 
 
* 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.
 
 
 
* Question 8. Do you work for Bristol Water or Wessex Water or their subcontractors (Kier, Pelican)
 
Yes
 
No
 
 
 
* Question 9. Do you work for the Environment Agency?
 
Yes
 
No
 
 
 
* Question 10.Do you work in market research or public engagement?
 
Yes
 
No
 
 
 
* 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.