** Eligibility Survey **

FUEL TYPE*

What Fuel Type Do You Use To Heat Your Home? Please Select All Options Which Apply.

Home Status

CURRENT HEATING SYSTEM*

How Do You Currently Heat Your Home?

Home Status

YOUR HOME STATUS

Do You Own Or Rent Your Home?

Home Status

YOUR HOME*

What Type Of Property You Have?

Home Status

PROPERTY BUILD TYPE*

What Is the Build Type Of Your Property?

Home Status

MONTHLY ENERGY BILLS*

Approximately, What Is Your Current Energy Bill Per Month?

Home Status

BEDROOMS*

Please Tell Us How Many Bedrooms Your Property Has?

Home Status

BENEFITS*

Is Your Household Income Less Than £31,000 Per Annum?

SUPPORT BENEFITS*

Do You Or Anybody In Your Home Receive Any Of The Below?

SOME DETAILS TO COMPLETE APPLICATION*

To Finish Your Application, Share With Us Some Details

PLEASE TYPE YOUR POSTCODE*

Last step!