NHS Rotherham - Your views on keeping warm at home

Are you aged 55 or over and a Rotherham resident? We would like to know your views on keeping warm at home.

How important do you consider keeping warm at home is for your health? (1 = not important, 5 = very important) *

1 2 3 4 5

Would you like to take part in more detailed research? (If yes, please let us know your name and phone number below. We will call you at your convenience and ask you some questions over the phone) *

Yes No

All fields marked with a * are mandatory. Some or all details in this form may need to be shared with other parts of the NHS. No personally identifiable information will be passed to organisations outside the NHS. The information in this form is not transmitted securely across the internet.

Your views on keeping warm at home

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