Theale Resident's Survey
1. About you
Page 1 of 7
If you submit this form, the Liberal Democrats, locally and nationally, may use information provided, including your political views, to further our objectives, share it with our elected representatives and/or contact you in future using any of the means provided. Some contacts may be automated. You may opt out of some or all contacts or exercise your other legal rights by contacting us. Further details are in our Privacy Policy at www.libdems.org.uk/privacy
Please enter your name
1. Please enter your first (given) name and last name (surname) *
Please enter your postcode
2. Please enter your postcode *
Please enter a valid email address.
3. Email address.
Please enter your email address so that we can keep you informed about the results of this survey and about our work in Theale.
Please enter it if it will be OK for us to contact you using it in future. We will not share it with any other organisation.