Submit your pre-survey information

Please complete the form to the best of your knowledge. We will use this information to plan your survey, and as part of our data collection to demonstrate the the impact of C.H.E.E.S.E surveys. Note that you can't edit the information once you have submitted it, but you can resubmit the information by submitting this form again. Fields marked with a * are required.

Your details

  • Do you have any illnesses or disabilities?
  • Will you be able to accompany the surveyor around your home for two to three hours during the survey?
  • Do you have any pets that will be present in your home during the survey?

Details of your home
Gas use
Electricity use
Other energy use

Please make sure you have read our privacy notice that explains what personal data we collect, why we collect it and how we keep it safe.