* Your Name

* Your Address:
Your Reference

HelpYour unique reference - this is shown on your letter above your name. This will help us to locate you.
Your Phone Number:

Email:

Why did you chose to live in Hammersmith & Fulham?
How would you rate Hammersmith & Fulham Council for the following services since you moved into your new home where 1 is very dissatisfied and 10 is very satisfied?
  1 2 3 4 5 6 7 8 9 10
Council Tax Registration
Registering to Vote
Getting a Parking Permit
Which THREE of these local issues fo you think should be prioritised?
Check at most 3 answers
What one thing would you change in Hammersmith & Fulham?
How do you commute to work?
Check any that apply
What are your housing circumstances?
Check any that apply
In order to make this survey representative, how did you vote in the 2015 General Election
Check any that apply
Thinking ahead to the next local elections in May 2018, how likely are you to vote in this election - on a scale of 1-10, where 1 means absolutely no chance of you voting and 10 means you are absolutely certain you will be voting?
  1 2 3 4 5 6 7 8 9 10
Some example subquestion
Again thinking ahead to the local elections in May 2018, as things stand today, what are the chances of you voting for each of the following parties - on a scale of 1-10, where 1 means there would be no chance of you voting for the party and 10 means you would be absolutely certain to vote for the party?
  1 2 3 4 5 6 7 8 9 10
Conservative
Labour
Liberal Democrat
Green
UKIP
Other
Would you be interested in finding out more about helping local Conservatives campaign for our area by:
Check any that apply
Many people find it easier to vote by post, guarunteeing their vote even if they are away or ill. Would you like an application to vote by post?