PDCNSW & PIAC's Energy & Water Consumers’ Advocacy Program Questionnaire

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In the last 12 months have you had trouble paying your electricity bill on time?

In the last 12 months have you had trouble paying your electricity bill on time?   Yes No

If you answered yes to question 1, was this the first time?

If you answered yes to question 1, was this the first time?   Yes No

Which of the following strategies have you used to pay your electricity bill?

Which of the following strategies have you used to pay your electricity bill?   Borrowed money Used a credit card Put off paying other bills that were due Sold an item Used a voucher

Other (please specify)

Have you ever gone without essentials in order to pay your electricity bill?

Have you ever gone without essentials in order to pay your electricity bill?   Yes No

If you answered yes to question 4, please tick any of the following that you have gone without to pay your electricity bill.

If you answered yes to question 4, please tick any of the following that you have gone without to pay your electricity bill.   Food Medicine/health expenses Heating/Cooling Education costs (e.g. school excursions, books, fees) Transport costs (public transport fares, petrol, taxis) Telephone or internet access Social activities

Other (please specify)