Tenant Survey

Fair Housing Advocates of Northern California is investigating potential violations of fair housing law. All responses will be treated confidentially. This survey will take about 5 minutes. If you do not understand a question, you can either reach out through the website below or you are also able to skip it.

Fair Housing Advocates of Northern California está investigando posibles violaciones de la ley de vivienda justa en. Todas las respuestas serán tratadas de forma confidencial. Esta encuesta tomará alrededor de 5 minutos. Si no entiende una pregunta, puede comunicarse a través del sitio web a continuación o también puede omitirla.

For general information about fair housing and/or our education services, please visit our website at www.fairhousingnorcal.org.

Para obtener información general sobre vivienda justa y/o nuestros servicios educativos, visite nuestro sitio web en www.fairhousingnorcal.org

First Name

Last Name

How well do you speak English?

What is your preferred language?

Do you live with a mental or physical disability?

If yes, please describe:

Do you receive any housing vouchers?

COMPLAINTS

Have you ever felt discriminated against in housing based on your religion or ethnicity? An example would be for displaying Christmas lights or other religious items.

Please describe your experience:

Have you received a Lease Violation notice or other written/verbal notification?

Please describe your experience:

Have you made complaints to management about anything during your time at this property?

Do you feel they responded appropriately?

Please describe any complaints you made, who you made them to, and the response you received:

MAINTENANCE REQUESTS

Have you made maintenance/repair requests to management?

If yes:

Do you feel they responded appropriately?

Did you make the request in writing?

Do you have a copy of your request?

Please describe any requests you made, who you made them to, and the response you received:

REASONABLE ACCOMMODATIONS

Have you ever requested a reasonable accommodation from your management or landlord?

If yes:

Please describe your request (an emotional support animal, transfer to another unit, increase number of bedrooms, etc.):

When did you make the request(s)?

If you have requested a reasonable accommodation, how did you request it? Check all that apply:

Orally (in person or via phone)Via e-mailVia text messageOn management form

Who did you speak to about your reasonable accommodation request? (management, lawyer, etc.)

As a condition for granting your request, were you required to provide any additional information, documentation (such as a doctor's letter), or fill out any forms (such as a medical release or lease addendum)?

What was the outcome of your request? Check all that apply:

GrantedDeniedIgnoredAlternative accommodation

If your requested accommodation was denied, was a reason given?

Do you have any written documentation of your correspondence regarding the reasonable accommodation request? (emails, documents provided/requested)

OTHER

Have you received any unfair charges on utility bills?

If yes:

please describe:

Have you ever encountered any aggressive, rude, or hostile behavior from neighbors or management (owners, resident manager, maintenance worker etc.)

If yes, please describe.

Are you interested in forming or joining a tenant's association?

Do you have any other concerns as a tenant that you would like to share?

If yes:

please describe:

Would you be interested in filing a complaint based on your experiences?

Are you ready to submit?