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\n Name\n \n: \n \n \n \n \n \n \n \n
\n Address\n \n: \n \n \n \n \n \n \n \n
\n Postcode\n \n: \n \n \n \n \n \n \n \n
\n County\n \n: \n \n \n \n \n \n \n \n
\n Telephone number\n \n: \n \n \n \n \n \n \n \n
\n Email\n \n: \n \n \n \n \n \n \n \n
\n Size of garden\n \n: \n \n \n \n \n \n \n \n
\n Size of unplanted area in garden\n \n: \n \n \n \n \n \n \n \n
\n Easy access to garden?\n \n: \n \n \n \n \n \n \n \n \n \n \n
\n What levels of insulation are in your house? (tick any that apply)\n \n: \n \n \n \n \n Cavity wall insulation
\n \n Sub-floor insulation
\n \n Double glazing
\n \n Loft insulation
\n \n \n \n \n
\n How is your house heated?\n \n: \n \n \n \n \n Underfloor
\n \n Radiators
\n \n \n Other \n \n \n \n
\n Are you a new build?\n \n: \n \n \n \n \n \n \n \n \n \n \n
\n Where did you hear about us?\n \n: \n \n \n \n \n \n \n \n

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