Your three Conservative candidates for Maida Vale - Mohammed Janal, Iheoma Oteh and Jan Prendergast - want to hear from you.
Please complete the following so that we can find out your main local concerns.
So we can make sure the results of this survey are representative of everyone, please complete this section - all answers and information supplied will remain strictly confidential.
On a scale of 0-10 – where 0 means there would be no chance of you voting for the party and 10 means you would be absolutely certain to vote for the party?
We want to keep in touch with you.