Name:


Email Address:


From:


Year of birth:


Sex:
Select from... Male Female Undecided

Interests (besides football):


Where do you stand/ sit at Eton Park:


How many matches do you go to?:
Select from... All home and away games All home games, most away All home games, some away Some home, some away games Just home games Only occasional games

What was the first Brewers match you attended, and what do you remember about it?:


Which Brewers match left you feeling most elated?


And which left you most disappointed?


What's the best away ground you've visited and why?


And the worst?


Do you support any other team apart from the Brewers? If so, who and why?


Why do you support Burton Albion?


Which other team do you dislike most?


What is your opinion on Derby County Football Club?:
Select from... I support them as well I like to see them do well I mildly dislike them I dislike them a lot I don't care

If you could choose three ways to improve Burton Albion FC, what would they be?
1
2
3

What single improvement would you make to Eton Park?


What music should the Brewers run out to on matchday?


What colour should the away strip be?


If you won the National Lottery jackpot would you donate some of it to the Brewers?


What's your all time best Brewers XI?
Keeper:

Defence:

Midfield:

Attack:


If you want to give reasons for your team selection, do it here:


Where realistically would you want the Brewers to be in five years time?


Any further comments??