HOUSEHOLD INFORMATION

 

1. How many people including children normally live in your household?

Enter number 

 

2. Please enter the number of people in your household in each age group.  (Enter numbers)

 

Male Female Male Female

0-4   45-59  

5-10   60-64  

11-15   65-74  

16-17   75-84  

18-24   85  

25-44  

 

3. How long have you lived in Shute Parish? (Tick one box only)

	Person 1	2	3	4	5	6	7	8
Whole life
Less than 1 year
1-5 years
6-15 years
16-25 years
26-50 years
51+ years

 

4. Where do you live? (Tick one box only)

Shute  Whitford  Seaton Junction 

Umborne  Hampton  North of the A35 

Other ………..…………………………………………………..…………………………. 

 

5. Are you on Mains water or Private Supply (Circle one)

 

If Mains Water, is it Metered or Unmetered (Circle one)

1. Are you on

Mains Sewerage / Soakaway / Septic Tank / Own Sewage Plant (Circle one)