RGDATA Energy Cost Survey October 2022 Question Title * 1. Shop name Question Title * 2. Shop location Question Title * 3. Contact details Email Address Phone Number Question Title * 4. What is your store size? (Gross) Question Title * 5. How many employees do you employ (W & PT) Question Title * 6. How much have you spent on electricity in March 2022? Calculated by reference to unit cost, standing charges and detail the amount of electricity consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 7. How much have you spent on electricity in April 2022? Calculated by reference to unit cost, standing charges and detail the amount of electricity consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 8. How much have you spent on electricity in May 2022? Calculated by reference to unit cost, standing charges and detail the amount of electricity consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 9. How much have you spent on electricity in June 2022? Calculated by reference to unit cost, standing charges and detail the amount of electricity consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 10. How much have you spent on electricity in July 2022? Calculated by reference to unit cost, standing charges and detail the amount of electricity consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 11. How much have you spent on electricity in August 2022? Calculated by reference to unit cost, standing charges and detail the amount of electricity consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 12. How much have you spent on gas in March 2022? Calculated by reference to unit cost, standing charges and detail the amount of gas consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Ignore this section if gas prices are not an issue for you - go directly to the next section Question Title * 13. How much have you spent on gas in April 2022? Calculated by reference to unit cost, standing charges and detail the amount of gas consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 14. How much have you spent on gas in May 2022? Calculated by reference to unit cost, standing charges and detail the amount of gas consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 15. How much have you spent on gas in June 2022? Calculated by reference to unit cost, standing charges and detail the amount of gas consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 16. How much have you spent on gas in July 2022? Calculated by reference to unit cost, standing charges and detail the amount of gas consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 17. How much have you spent on gas in August 2022? Calculated by reference to unit cost, standing charges and detail the amount of gas consumed. Please put in an amount for each separately - standing charges, usage charge (unit cost), consumption level. Question Title * 18. If you are eligible for the TBESS – what do you expect will be the shortfall in your energy costs between September and February 2023? Question Title * 19. How will you manage to address any shortfall in meeting your energy costs over the coming months? (eg; Borrowings, cutbacks in staff, reduction in opening hours, price increases, other?) Question Title * 20. Will you Tell your story to the media Contact your local politican Take part in RGDATA delegations Done