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Customer Panel Form

Would you like to play a bigger role in deciding how your housing services are delivered?

If so you can join the OVH Customer Panel and have your say on the future of your community.

As a member you'll be consulted regularly on a range of issues, and you can choose how you'd like to be involved. You will also be eligible for a number of incentives including regular competitions and discount offers.

Anyone can join, you just have to be over 14 yrs old and live in Sefton. Your responses to consultation exercises will be kept anonymous and you'll receive regular updates on the results of any actions that we'll be taking as a result of your input.

To sign up as a member of the OVH Customer Panel, please complete your details below.

Q1 Name
 
   
Q2 Title?
 
Mr Miss
Mrs Ms
*Other, please state:
   
Q3 Address:
 
   
Q4 Gender:
 
Male Female
   
Q5 Date of Birth
  DD/MM/YYYY
   
Q6 Telephone Number
 
   
Q7 Mobile Number
 
   
Q8 Email Address
 
   
Q9 Are you....?
 
A One Vision Housing Tenant Not a resident in a One Vision Housing property
A One Vision Housing Tenant's Partner Leaseholder
Another member of a One Vision Housing Tenant's household Supported Housing Tenant
   
Q10 Do you have any disability or health issues?
 
Yes* No
*If yes please specify:
   
Q11 Ethnic Background?
 
Indian Any Other Ethnic Group eg Traveler or Gypsy
Pakistani Mixed - White and Black Caribbean
Bangladeshi Mixed - White and Black African
Any other Asian Background Any Other Mixed Background
Black Caribbean British
Black African Irish
Any other Black Background Any other White Background
Chinese Prefer not to say
*Other, please state:
   
Q12 Religion or belief?
 
No Religion Jewish
Bahai Muslim
Buddhist Sikh
Christian Jain
Hindu Prefer not to say
*Other, please state:
   
Q13 Sexual Orientation?
 
Bisexual Hetrosexual
Gay Man Prefer not to say
Gay Woman / Lesbian  
*Other, please state:
   
Q14 Is English your first language?
 
Yes No
*If no please specify:
   
Q15 Do you need to receive information in any of the following formats? (please tick all that apply)
 
Large Print Audio Tape
Braille In your Language
CD  
*Other, please state:
   
Q16 Which of the following options would be your preferred method for taking part in the OVH customer panel? (please tick all that apply)
 
Telephone surveys Email or online surveys
Postal questionnaires Consultation by the Audit Commission as part of our external inspection
Face to face interviews Act as a reader, commenting on new literature / publications
Participating in group discussions / forums Mystery Shopper
Completing suggestion cards and compliment slips All
   
Q17 What issues would you like to be consulted on? (please tick all that apply)
 
Customer Service Rent and Service Charges
Design of Homes Repairs and Maintenance
Environmental Issues Resident Involvement and Communication
Equality and Diversity Tackling Anti-social behaviour
Handling Complaints All Issues
Investment Programme / ''Decent Homes"  
*Other, please state:
   
Q18 How many times per year would you be happy to be consulted?
 
2 4
3 4+
   

Thank you for agreeing to join the One Vision Housing Customer Panel.

We will contact you in the near future to welcome you as part of the panel.

'You don't have to join a group and attend lots of meetings to make a difference.'

   
Q19 Would you like to be contacted with a password?
 
Yes No
*If yes, what would you like the password to be:
Clue question for password:


One Vision Housing are data controllers under the Data Protection Act 1998. We will process personal information you have supplied to us in accordance with that Act and only for the purpose for which it is collected.  Data will not be disclosed to any unauthorised persons.