Please type your name here:
What school do you go to?
Where do you live?
Which school year are you in?
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7
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What is your address?
How many people live in your house?
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1
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10+
What is your postcode?
Number of floors?
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1
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9
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10+
Number of rooms?
Number of smoke alarms?
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1
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7
8
9
10
10+
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0
1
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4
4+
Is there anything else you'd like to
tell us or you'd like help with?
Do you have any elderly relatives
who live on their own?
Some questions for your parents:
Tick here if you would like more details on home fire safety
Tick here if you would like a home fire safety visit
Tick here if you would like us to fit a smoke alarm