Understanding our Tenant Census

Understanding our tenants census

In this census we ask for personal information that you may find sensitive. All replies will be treated in the strictest confidence and you can refuse to answer any particular questions.
Please answer as many questions as you can since this will help us to provide services which are tailored to meet your individual needs.

Examples of what we will use your information for include:

Notifying a family member or carer to be present during visits by staff, contractors, consultants and support agencies.
Providing information in an different language & telephoning or texting instead of sending letters.
Providing large print letters

If you have any queries orwould like help completing this questionnaire please telephone the association on 01685 352800 and speak with a member of the housing team.

1. Please tell us your contact details so we can update our records.

Address
Post Code

2. Do you wish us to send letters to a different address, or would you like us to talk with a family member or support worker?

If Yes please put their name and address below:

Name:
Address:
Post Code:

3. You and your household

Tenant 1 Details:

Surame:
First Names:
Date of birth:
Home phone number:
Work phone number:
Mobile phone number:
Email address:
N.I. number
Bank account Yes/No

4. Title of Tenant 1

Comments:

5. You and your household

Tenant 2 Details:

Surame:
First Names:
Date of birth:
Home phone number:
Work phone number:
Mobile phone number:
Email address:
N.I. number
Bank account Yes/No

6. Title of Tenant 2

Comments:

7. Please tell us about any other people that live with you

Title:
First Name:
Surame:
Male or Female
Date of birth:
Date moved in:
Relationship to tenant:

8. What is your religion?

Tenant 1

Comments:

9. What is your religion?

Tenant 2

Comments:

10. Tenant 1

What is your ethnic group?

Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

Comments:

11. Tenant 2

What is your ethnic group?

Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

Comments:

12. Tenant 3

What is your ethnic group?

Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

Comments:

1. Please tell us your contact details so we can update our records.

2. Do you wish us to send letters to a different address, or would you like us to talk with a family member or support worker?If Yes please put their name and address below:

3. You and your householdTenant 1 Details:

4. Title of Tenant 1

5. You and your householdTenant 2 Details:

6. Title of Tenant 2

7. Please tell us about any other people that live with you

8. What is your religion?Tenant 1

9. What is your religion?Tenant 2

10. Tenant 1What is your ethnic group?Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

11. Tenant 2 What is your ethnic group?Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

12. Tenant 3What is your ethnic group?Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

2. Do you wish us to send letters to a different address, or would you like us to talk with a family member or support worker?

If Yes please put their name and address below:

3. You and your household

Tenant 1 Details:

5. You and your household

Tenant 2 Details:

8. What is your religion?

Tenant 1

9. What is your religion?

Tenant 2

10. Tenant 1

What is your ethnic group?

Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

11. Tenant 2

What is your ethnic group?

Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background

12. Tenant 3

What is your ethnic group?

Choose one section from A to E for each person then tick one box for each person to best describe their ethnic group or background