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First name
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Surname
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Address |
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Postcode
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Tel (day)
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email address
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Have you purchased either/both? Please tick * | IR model USB model
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Serial no(s) of the Standby Saver
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Where did you purchase Standby Saver?
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What date did you purchase the Standby Saver? | |
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How much did you pay for the product(s)?
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What type of TV is the main TV in your house? * | Standard TV (cathode ray tube) LCD Plasma Projection TV
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On average how many hours a day is this TV in use? * | |
When you have finished watching TV, how do you normally switch it off? * | Remote control At the socket At the TV Don’t switch it off
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Along with your TV, what peripherals have you plugged into your Standby Saver to reduce energy consumption? | VCR DVD player DVD recorder Hard disk recorder Digital receiver (e.g. Freeview) Satellite receiver (e.g. Sky) Cable receiver (e.g. Virgin) HiFi Mobile phone charger Surround sound/home theatre system
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Games console (please list)
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Other (please list any other electrical appliances that apply)
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How do you normally switch these appliances off? * | They’re usually left on Leave them on standby Fully switch off at the appliance Fully switch off at the socket
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If you are using a computer set up, are you using? Please tick | Laptop Desktop
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How many hours a day is your computer used? | |
Which of the following peripherals do you use with your computer? | Monitor Printer Scanner Broadband modem Docking station Hard disk Speakers Sub-woofer Games console
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Other (please list any other electrical appliances that apply)
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Give the model and age of computer
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Does your monitor have a separate plug? | Yes No Don’t know
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Does your computer automatically go into hibernation or deep sleep if it isn’t used for a while? | Yes No Don’t know
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Every time you finish using your computer, do you? | Put your computer into hibernation or deep sleep Leave your computer on, with screen saver running Switch your computer off, but leave the mains switch on Switch your computer off and unplug it
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At night, do you? | Put your computer into hibernation or deep sleep Leave your computer on, with screen saver running Switch your computer off, but leave the mains switch on Switch your computer off and unplug it
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Please indicate whether any member of your household is receiving one of the following: | Attendance Allowance Council Tax Benefit Child Tax Credits (income £15,592 or less) Disability Living Allowance Disablement Pension (includes Constant Attendance Allowance) Housing Benefit Income Support Income-based Job Seeker Allowance State Pension Credit Working Tax Credits (income £15,592 or less) War Disablement Pension (includes Mobility Supplement and Constant Attendance Allowance)
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Is any member of your household over 70? | Yes No
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If yes, please give their date of birth | |
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Security Code
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*
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Please note that an * indicates a mandatory field
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