Tenant Survey Template
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1
2Form 16: Tenant Survey
(Adapt this to fit your situation)
Name
Address
Phone
Did you get a notice of rent increase? Yes _______ No _______
If yes, when? ________________ How much was the increase?
Can you pay the increase? _______ Do you have a housing subsidy? _______
Do you have a current problem with bad conditions?
Yes _______ No _______
If so, please describe the problems:
Have you ever asked the landlord to make any repairs? Yes _______ No _______
If so, what kinds of repairs?
Form 16 • 523
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Parent category: Life