Exit this survey Brentford Community Survey - for Individuals 1. About You Question Title 1. Please enter some personal details: Name: Address: Address 2: City/Town: Postal Code: * Email Address: Phone Number: Question Title 2. Are you over 18? Yes No Question Title 3. May we contact you by email, if provided, to get in touch for purposes directly related to the survey? For example, if you have asked for more information. Yes No Question Title 4. If you haven't provided an email address but have given us a telephone number may we use it? Yes No Question Title 5. How long have you been in Brentford (whether living, working or playing here) and how long do you see yourself staying for? A year or less 1-2 years 3-5 years 6-10 years for ever have been here for... have been here for... A year or less have been here for... 1-2 years have been here for... 3-5 years have been here for... 6-10 years have been here for... for ever planning on staying for... planning on staying for... A year or less planning on staying for... 1-2 years planning on staying for... 3-5 years planning on staying for... 6-10 years planning on staying for... for ever Question Title 6. If you are planning on moving, what are the reasons? Next