GBIS

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12Questions

1
Type a question
Homeowner
Tenant
Landlord
2
What Type of Property
House
Bungalow
Flat
Maisonette
3
What is the detachment?
Detached
Semi Detached
End Terraced
Mid Terraced
4
Type a question
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 Bedrooms
6+ Bedrooms
5
Are you or anyone in your household in receipt of any of these benefits?
Child Benefit
Child Tax Credit
Income Based ESA
Housing Benefit
Income Support
Income Based JSA
Pension Credit Saving
Working Tax Credits
Pension Guarantee Credit
Universal Credit
None
6
What fuel heats your home ?
Gas
Electric
ASHP
Bottled LPG
Bulk LPG
Oil
Fuel Cell
Solid Fossil
7
What Grants are you interested in?
£250 Voucher & Cavity Wall Insulation
GBIS Loft Insulation
GBIS Internal Wall Insulation
GBIS Attic Room Insulation
ECO4 Central Heating/ Boiler
ECO4 Grants
8
Name
First Name
Last Name
9
Email
example@example.com
10
Phone Number
Area Code
Phone Number
11
House Number
12
Post Code
Should be Empty:

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