Penelope's Pitstops
9 Whorlton Road,
Riverside Park
Middlesbrough TS2 1QJ

Phone: 01642 231818
e-mail: info@penelopespitstops.com
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Your Details:
Occupation: What age group are you? 17-24 25-34 35-50 50+
Car Details:
Make: Model:
Year:
Survey:
Do you check your water, oil and tyers regularly?
YesNo

If not why not?
Don't know how
Don't consider it important
Too much hassle
If you need to contact a garage for service, maintenance, repair, M.O.T. etc, do you?
Look in the phone book
Go to the same place each time
Go to the nearest to your home/work
Rely on family/friend advice
Other
Other(Please state)

Do you get your car serviced regularly?
YesNo

If no, Why?
Don't condider it important
Too expensive
Don't know where to take it
Wait until there is a problem

If you take your car to the garage, do you?
Feel Perfectly comfortable
Feel slightly intimidated dealing with men
Question repairs and cost of work carried out

If there was a garage that offered to pick your car up from home or work for maintenance or repair as part of its normal service, would you be:
Very interested
Possibly interested
Not interested

Do you know when your M.O.T. expires?
YesNo

If yes, what date does it expire?
You must complete the next part of the form to qualify for the 10% voucher
Your Name:
Address:
Postcode:
Phone:
Email:  (by providing your email address you are consenting for us to contact you in this way)