Customer contact diary

Thank you for agreeing to take part in our New Customer Contact Diary programme.

Please fill in your contact details and the details of your experience below and click 'Submit' to send.

Your response will be dealt with confidentially and we will only use your contact details to get in touch regarding your customer experience.

Your details

Your full name *

Your address *

Your postcode *

Preferred contact number *

Your email address *

Details of your experience

Date of contact *

Who you contacted *

What was your reason for contacting us? *

How satisfied were you with your experience? *

1 = extremely unsatisfied
2 = unsatisfied
3 = neutral
4 = satisfied
5 = extremely satisfied

Help us to fight spam

The information provided by you on this form will used to carry out market research and analysis to develop and improve our housing services and products. This is necessary for our improving our services, and we use our legitimate interests to improve services, as the lawful basis for processing your information. To find out more about how we collect, use and share your personal information please visit our data protection page.

Please contact Amplius if you no longer wish to take part in this research.

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