FUEL POVERTY AWARENESS Question Title * 1. Do you understand the concept of fuel poverty? Yes No Question Title * 2. Do you worry about not being able to pay your energy bills? Yes No Sometimes Question Title * 3. Do you spend more than 10% of your income to heat your home? ( for example if your income is £200 per week, do you spend more than £20 on heating) Yes No Sometimes Question Title * 4. Are you using less energy than required due to high energy costs? Yes No Sometimes Don't Know Question Title * 5. Are you in arrears with your energy bills? Your electricity Your gas Sometimes I have arrears with energy bills I'm not behind with energy bills Question Title * 6. If you are behind your bills, are you able to read letters sent by your electricity or gas companies? Yes, from electricity company Yes, from gas company No, I'm not behind with energy bills Question Title * 7. If you struggle in paying your electricity or gas bills, are you aware of any support available to you? Yes No Don't Know Question Title * 8. If you struggle with your energy bills does this increase pressure on your health and increase health related costs? Yes No Sometimes Yes, I can pay Question Title * 9. If you struggle to pay your fuel bills does this make you stressed which results in your wellbeing? Yes No Not Applicable Question Title * 10. If not being able to afford fuel bills does this influences your mental health. Yes No Sometimes Not Applicable Question Title * 11. On average, how much do you spend on your energy bills? Weekly Monthly 3 Monthly Top - up Question Title * 12. What is your ethnic background White Black / African Asian Mixed Other (please specify) Question Title * 13. Please provide your postcode (first three digits) Question Title * 14. For a chance to win £20 gift vouchers, please provide your e-mail address for competition entry Done
