If you consider yourself to have a disability is it:

What is your gender?

What are your pronouns?

Are there any concerns about your / their legal capacity? *

Are you, or a member of your household, in the armed forces or a veteran? *

Are you an in-patient at hospital or another care facility?

Are you looking at living independently for the first time?

Are you currently homeless or threatened with homelessness? *

Thinking about your current housing situation, tick as many that apply:

Would you like to stay in your home if it could be adapted? *

Would someone be living with you? *

Do you have any pets? *

Have you registered your housing needs with the Council? *

Have you registered your housing needs with any Housing Associations or Co-operatives? *

What is your household's income from benefits?

Giving details of your income helps us to see which housing options are open to you.

Do you have an employment income?

Do you have a benefit income?

Do you have any other kind of income?

Do you have any savings?

Do you have any debts? (Credit cards, loans, rent or mortgage arrears etc.)

Are any of your debts secured against your property?

Could family or friends contribute financially to help you buy a home?

Home Energy Scotland is a Scottish Government programme run by the Energy Saving Trust.

They offer free impartial advice on making your home warmer and cheaper to heat.

Do you provide your permission to be contacted by Home Energy Scotland and for information about the outcomes of this referral to be shared with Housing Options Scotland up to one year after the date of referral? If you have previously been in contact with Home Energy Scotland, that information and any outcomes in the current year will be shared. Home Energy Scotland will keep the data for auditing purposes and in case they need to contact you or your third party in future to assess customer satisfaction.

How easy was our Get Help form to complete? *