Name
*
Mr
Mrs
Ms
Miss
Dr
Mr & Mrs
Lord
Lady
Rev
Prefix
First Name
Last Name
Email
*
example@example.com
Do you use your terrestrial aerial?
*
Yes
No
If so, do you use Freeview?
*
Yes
No
Do you have a SKY subscription?
*
Yes
No
If so, do you know what package?
*
Do you watch TV over the internet?
*
Yes
No
If so do you use/subscribe to any of the following:
*
Amazon Prime
Apple TV
Disney+
Netflix
Now
BritBox
DAZN
Hayu
Other
How many TV's do you have in your home?
*
1
2
3
4
5 or more
Which room(s)?
*
Drawing Room
Kitchen
Bedroom 1
Bedroom 2
Bedroom 3
Sunroom
Study
Do you have a smart tv?
*
Yes
No
Do you use a Google Chromecast?
*
Yes
No
Are any of your TV's wall mounted?
*
Yes
No
If so, which room(s)?
*
Drawing Room
Kitchen
Bedroom 1
Bedroom 2
Bedroom 3
Sunroom
Study
Submit
Should be Empty: