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Partnership Customer Survey

If you have any questions about this form, please call 0800 0726202 or email Partnerships@wwutilities.co.uk

For Partners to complete

Customer Details

Carbon Monoxide (CO)

On a scale of 1 to 10, what was your awareness of CO poisoning BEFORE our visit? (1 - Low & 10 - High)
On a scale of 1 to 10, what is your awareness of CO poisoning AFTER our visit? (1 - Low & 10 - High)
CO alarm given *
How many WWU CO alarms were provided? Please note that it should be limited to 1 CO alarm per household

Locking cooker Valve

Locking Cooker Valve referral

Please note that our customer service team will operate a callback service to complete the locking cooker valve referral and contact the responsible person or keyholder to discuss this further.

Additional Support

Do you wish to refer the customer to one of our other partners, who may be able to offer additional support? *
Please select all applicable categories below: *
Details of chronic illness
Details of mobility support
Type of disability support required:

Priority Services Register (PSR)

Would you like to register for the Priority Services Register?
Please select all applicable categories below: *

Disclaimer

For Priority Services Register referrals, we will pass your information on to the company who delivers electricity to your area, your Electricity Distribution Network Operator (DNO). They will keep your information on their PSR and where possible share your information with your gas and electricity suppliers) and your waterprovider who also keep PSRs.

Your information may also be shared with trusted partners/parties such as The Fire Service or The British Red Cross who can help us to support you in the event of a major incident.

Under Data Protection Legislation, we must tell you that we use the lawful basis of Legitimate Interest and Substantial Public Interests (SPI) to share your PSR data. We do this in the best interests of all to keep you safe, warm, and connected to your essential utility services.

Your information will not be used for marketing purposes.