Brentford Community Survey - for Businesses

1. About You and Your Business

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1. Please enter some details:

Your Name:

Company Name:

Address:

Address 2:

Town:

Postal Code:

Your Email Address:

Your Phone Number:

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2. Public contact details, if different from above:

Email Address:

Phone Number:

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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

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4. If you haven't provided an email address but have given us a telephone number may we use it?

Yes

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5. If you have a website please enter it

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6. Your position within the company:

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7. Are you a...

sole trader

independent firm

a branch

headquarters

Other (please specify)

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8. How big is your business (number of employees)?

under 5

5-49

50+

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9. Are your clients

solely within Brentford

borough wide

West London

regional

national/international

Brentford Community Survey - for Businesses

1. About You and Your Business

Question Title

1. Please enter some details:

Question Title

2. Public contact details, if different from above:

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.

Question Title

4. If you haven't provided an email address but have given us a telephone number may we use it?

Question Title

5. If you have a website please enter it

Question Title

6. Your position within the company:

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7. Are you a...

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8. How big is your business (number of employees)?

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9. Are your clients

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10. Please provide a brief description of your business sector and type

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11. Please give a brief summary of your achievements over the past 3 years (2006-2009)

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12. Please give a brief summary of your current position and where you expect to be in 3 years (2012)