Apartment Visit Discrimination Reporting Form

Please take a few minutes to answer this survey

Shenwrite

Contact Information 

Please provide your contact information so we can send you a thank-you gift and follow up with you if needed.

Feedback Questions

Fair Housing / Equal Opportunity

Did the agent mention any of the following? (Check all that apply):

Application & Screening

Did the agent tell you an application form must be completed before renting?
Did the agent ask you to complete an application?
Did the agent say a credit check was required?
Did the agent say a criminal background check was required?

Fair Housing / Equal Opportunity

Personal Questions Asked by Agent

Which of the following did the agent request? (Check all that apply):

Fees & Deposits

Were you told about any fees due at the time of application?
Was a security deposit or surety bond required?
Were you told about any fees due at the time of move-in?
Were you told any fees or deposits were negotiable?
Were you told about any specials or financial incentives?

Fair Housing / Equal Opportunity

Comments About the Neighborhood

Did the agent make comments about:

Noise
Schools
Maintenance/Services

Final Notes

What arrangements were made for future contact?

Thank You!

Your responses will help us improve our products.

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