Join our count me in club questionnaire

If you would like to talk to someone about how you can get involved please contact us.

Your Name *

Address *

Home Telephone Number

Mobile Telephone Number

Please select all of the topics you are interested in:

	yes	no
Local issues in your neighbourhood
Improving the services SYHA's customers receive
Looking at how SYHA is performing
Looking at how SYHA spends money
Looking at national issues that affect all housing customers

Something else, please tell us what

Are you interested in getting involved by: (please select all that apply)

	yes	no
Completing questionnaires sent to you by post
Completing questionnaires over the phone
Completing questionnaires by text
Completing questionnaires by email or on our website
Going along to a meeting in your local area
Going along to a meeting at SYHA's Sheffield office
Someone from SYHA visiting you at home and having a chat with you
By helping recruit new staff
Becoming a mystery shopper or customer inspector

In some other way, please tell us how

Is there anyone else in your household who would be interested in getting involved? Give us their names and we will invite them to join the Club too.

Would you like to: To be entered in to a prize draw or a entry made on your behalf for a charity of your choice to benefit if you win

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