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Seven Locks Housing customer profile survey

1.Your household details
Address:
Contact Number:
Email Address:
Mobile number:
 

Would you like to receive text updates?
   
Household member Title Surname First name Date of birth (dd.mm.yyyy) Gender Relationship to Tenant
Person 1 Tenant
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
2. Communication
2.1 Language
Is English the main language spoken in your Household?

2.2 Does anyone in your household have a need that we could meet by sending you information in another format?


If so please indicate which format from the list below?

2.3 How do you usually contact us?
2.4 When are you most likely to contact us?
2.5 What do you usually contact us about?

To Report a Repair
To report anti social behaviour
To discuss your rent
Moving house
Aids and Adaptations
Right to Buy / Acquire
To make a complaint
Leasehold query
Community issues
2.6 Based on the last year, how often do you think you have contacted us?

1 - 5
6 - 10
11 - 15
More than 15 times
Never

2.7 This question is NOT about the modernisation and improvement work being carried out by Lovell and Connaught Partnerships, it IS about the day to day repairs to your home.

Based on the last year, how often have you contacted us to report a repair?

3. Housing need
To help us to meet housing need now and in the future, please tell us about your households housing needs.

3.1 Do you or anyone in your household; have any disabilities, learning difficulties or illnesses which may affect your current or future housing needs?

  Mobility impairment Wheelchair user Sight impairment Hearing impairment Speech impairment Learning disability Mental health issues
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
3.2 Will any of your household require alternative housing within:
12 months?

Five Years?

If yes, please indicate the type of housing that would best meet their needs?
3.3 How would your households’ future housing needs best be met?
3.4 If you currently live in a property that is bigger than your household needs, would you consider moving to a smaller home?

3.5 If you answered yes to question 3.4, please indicate what if anything Seven Locks Housing could offer you as an incentive to move into a smaller home?




(If you are using only 1 bedroom in a 3 bedroom family home, you move into a smaller property and we pay you a sum of money for each bedroom that you have given us back)

4. Aids and adaptations
All needs identified in this question will be assessed in accordance with our current Aids and Adaptations Policy and Procedures.

4.1 Please indicate which (if any) of your household currently require aids or adaptations to Improve their quality of life, and then tick to identify the type of aid or adaptation that they require?

  Grab Rails Internal Grab Rails External Ramp Shower Stair lift Through floor lift Ground floor bathroom / WC
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
5. Your community

5.1 Please indicate from the list below in order of importance, 1 being the most important, what if any of the following are a problem in your community?

Noisy Neighbours and Anti-social Behaviour
Untidy gardens
Lack of community facilities
Litter
Lack of green space
Crime, e.g. Burglary, Vandalism, Car Crime

Please provide details of the crime that effects your area

5.2 Please tell us what you like about living in your community:
6. Help us to develop our services
6.1 Please indicate by numbering in order of importance, 1 being the most important, the services which are important to you?

A clear procedure that explains what you must do and how we will respond to Anti-social behaviour
Appointment times for repairs to be carried out
Housing Management home visit
Phoning you to check that we have delivered what we promised
Phoning you to check that we have delivered what we promised
Telling you how long it will take to respond to your enquiry
Extended office opening hours
Regular communication with you, e.g. producing a Newsletter
More information about our services
Greater options for customer involvement in developing our service
7. Customer involvement and consultation

7.1 Customer consultation and involvement is key to the success of Seven Locks Housing, would you consider the following options for involvement and tick the ones that you would like to become involved in?




(This could be a major improvement project or a local issue)




8. Financial inclusion
Seven Locks Housing are currently undertaking a financial inclusion project. It is our intention to develop services to limit the amount of financial exclusion faced by our customers. As with all of the questions in this survey you have the option to not answer this question. However, if you feel you would like to provide us with this information we would very much appreciate it. We guarantee, as with all of the content of the survey that your response will remain confidential.
8.1 Person 1 and person 2 only: Please indicate below which box best identifies your employment status?

Employed - 30+ hrs per week
Employed - 15 - 30 hrs per week
Retired
Currently unemployed
Permanently sick or disabled
Looking after family / carer
Other, Please state
8.2 Please indicate below the box which best identifies the annual income range before tax for your household

Below £12,000
£12,500 - £16,000
£16,500 - £22,000
above £22,500
8.3 Please indicate below which kind of bank account you hold?
9. Monitoring information
9.1 ETHNICITY Please indicate the description that best describes the ethnicity of each member of your household?
   
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
9.2 RELIGION Please indicate the chosen religion for each member of your household?
  Christian Hindu Jewish Muslim Sikh Buddhist No Religion Other Do not wish to provide
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
9.3 SEXUAL ORIENTATION Where known please indicate the sexual orientation of each member of your household?
  Hetrosexual Homosexual Lesbian Bisexual Do not wish to provide
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Please use the space below to provide us with any comments you have about our customer profile survey or the services you receive from Seven Locks Housing:
Thank you for taking the time to complete this survey.
All responses will be confidential and used solely to inform and improve our services.

Deborah Floody
Customer Relations Manager
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