City of London, EraseMyData, FREEGLE and SOENECS Tech-Takeback Pre-Registration Form Survey

1.Please state your details(Required.)

Name

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number

2.Please indicate which data erasure option you require:(Required.)

For Free, with a guarantee of government certified data erasure

£5 per data bearing item to receive a Government approved Certificatate of data erasure

£10 per data bearing item to receive a Government approved Certificatate of data erasure with £5 donation going to charity

3.Please indicate the type and the number of pieces of tech you will bring for data erasure and/or reuse (this will allow us to plan for workflow, if you want to bring more please do):(Required.)

number of items

Desktop PC

Laptop

Tablet

Games console

Smart phone

Mobile phone

Loose hard drive

USB memory stick

Monitor/screen

Cables

Keyboard

Printer cartridges

Mouse

Other (please specify)

4.I am bringing this tech for the purpose of Re-Use and I give permission to Tech-TakeBack to erase all the data contained on the devices (please remember in advance to copy/back-up all data you wish to keep from these devices prior to coming to the pop-up shop).(Required.)

Yes, I agree

No, I don't agree

It would be helpful if you answer the following questions to enable us to deliver a service tailored to your needs in the future:

5.How many new Tech Items do you normally buy annually?

0

1-3

4-6

7+

6.Would you consider any of the following alternatives to buying new tech?

7.How many pieces of Tech do you normally stop using annually and have no further use for?

0

1-3

4-6

7+

9.Please indicate the reason why you took the above actions?

I was worried about data

I kept it as a back-up

I forgot about it

I wanted to do the right thing and thought this was it

i wanted to get some money back from it

I wanted a charity to benefit from it

Other (please specify)

Thank you very much for completing this questionnaire.
We look forward to seeing you with Your Tech very soon!

City of London, EraseMyData, FREEGLE and SOENECS Tech-Takeback Pre-Registration Form

Data Protection sign up form

City of London, EraseMyData, FREEGLE and SOENECS
Tech-Takeback
Pre-Registration Form