Group 8
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Property type
Terraced house
Semi-detached house
Detached house
Bungalow
Other
Number of bedrooms
1
2
3
4
5
6+
How many people live in the property?
1
2
3
4
5
6+
How do you currently heat your home?
Gas
Electric
Oil
LPG
Fossil Fuel
Do you currently have insulation installed anywhere in your home?
Yes
No
Do you have children in full time education?
Yes
No
Does anyone in your household claim benefits?
Yes
No
Is anyone in your household in full time employment?
Yes
No
First name
Last name
Email
Phone
Postcode
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