2010 Rotherham Ltd

Chesterton Road
Eastwood
Rotherham
S65 1SZ
Tel: 01709 822200
Fax: 01709 822222

Company No:5292646
Registered in Cardiff
VAT No: 856304130

Wholly owned by,

Dear 2010 Tenant or Leaseholder
You may have recently completed a Checking Our Records form with a member of staff. If not, please take the time to fill in this form. We need to check the accuracy of information held on your tenancy file. The information gathered in this survey will be recorded on your file. It will be accessible only to 2010 Staff on a 'need to know' basis.

Both parties should fill in a survey if you share a tenancy or leasehold. If you have any questions regarding this form, please contact Alka Walton on 01709 822266 or alka.walton@2010rotherham.org.

1. About Me







2. Contacting You



3. When We Visit

4. Help or Support

5. Formats of Information







6. Communicating With You


7. Disabaility (We wish to redesign services to try overcome barriers to disabled people)



8. Ethnic Origin - I would describe my ethnic origin as:






















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