Rental Survey for Brentwood Residents

All information well be kept confidential.

1. How do you typically find rentals? (house or apartment):
   Pennysaver, newspaper
   Real estate broker
   Word of mouth
   Listing at supermarket
   Other:
2. What is the size of your family (number of family members)?:
   1 2 3 4 5 6 7 8 More than 8
3. What is your annual household income?:
   Under $25,000
   $25,001-$34,999
   $35,000-$44,999
   $45,000-$55,000
   Over $55,000
4. Do you feel rentals are affordable?:
   Yes No
5. What do you expect to pay per month for:
   Studio
   1 Bedroom
   2 Bedroom
   3 Bedroom
   4 Bedroom
   5 or more Bedroom
6. Which expenses do you expect to cost EXTRA (not included in rent)?
   (check all that apply):
   Utilities
   Broker's fee
   Extra security
   Deposit for water or electricity
7. What was the condition of your rental?
   Excellent
   Good
   Fair
   Unacceptable
8. If unacceptable, did the landlord correct the problem?
   Yes No
9. What sacrifices did you have to make, if any, to cover your monthly rental costs?:
   (check all that apply):
   Cut back on groceries
   Buying clothing
   Medication
   You got a second job
   Other:
10. As a tennant, what are some of your concerns?
    (check all that apply):
    Repair and maintenance
    Not enough heat
    Apartment/house not ready when moving in
    Security deposit not returned
    Landlord enters premises without permission
    Illegal evictions
    Other:
11. Age of person completing this form:
    18 to 26
    27 to 40
    41 to 57
    57 and over
12. Which of these best describe your household?
    (check all that apply):
    Single parent household
    Couple with children
    Couple without children
    Single individual
13. Which of these best describe your household?
    (check all that apply):
    Working
    D.S.S.
    Section 8
    Public Housing
    Other:

Your Name:

Your full Mailing Address (required to receive free gift):

Your email address: