Brotherwood 2018 Survey

Please answer the following questions as fully as you are able; your feedback is greatly appreciated as it helps us to reach more people in need of our services and to improve our products and customer service. Please complete your details at the end to enter our 2018 Prize Draw!

 About You?

 Your Age?

 What publications do you read regularly? (Please give specific examples where possible)

 What exhibitions have you attended in the past 3 years?

 Do you regularly use the internet for shopping or to research products?

 What Devices do you use for internet browsing?

 Which of the following type of websites do you visit regularly?

 If you use Social Media, please indicate which of the following you use:
By the way; do you know that you can find us on Facebook and Twitter, for updates, news and offers?

 When are you looking to next change your wheelchair accessible vehicle (WAV)?

 What fuel types will you be considering for your next WAV?

 If your Brotherwood WAV could be improved in one way, what would it be?

 Do you have any other feedback regarding your WAV or experience as a Brotherwood customer?

 Contact Details Verification

I am happy to be contacted and to receive news, updates and offers by post:

I am happy to be contacted and to receive news, updates and offers by email:

Please enter your details below to enter our 2018 PRIZE DRAW.

If you have changed your contact information/address then please provide updated details below. Alternatively, if you would like to check what contact information we have on file or speak to a member of staff regarding your contact preferences, please call us on 01935 872603.