Housing Exit Survey

Name of Property Management Company

If you are not renting though a Property Management Company, please enter "Private Owner"

Address

Street name and number (123 Main Street) or cross streets (Folsom and Colorado)

City

Zip Code

Apartment Properties

Number of Bedrooms

Please indicate 0 for studio

Number of Bathrooms

Number of Residents

This number includes you + any rent-paying roommates

Number of Dependents

This includes residents who do not pay rent, such as children

Size of Apartment square feet

Amenities

Select which amenities were available in your complex or apartment.

Financial

Monthly Housing Expenses

Please indicate total housing expenses for the property including rent, utilities, and internet

$

How much of your income did you spend on housing expenses?

This includes rent, utilities, and internet

%

Security Deposit

Please indicate the amount you paid, not including what any roommates paid

$

Security Deposit Includes

First month rent

Last month rent

How much of your security deposit was returned to you?

Please indicate a negative value if you were required to pay at the end of your lease

$

Fines and Fees

Please list any fees and their values beyond monthly rent and utilities, such as application fees or lease-transfer fees

Experience

How many months did you live here?

What type of contract did you have?

Quality of Housing

	1 - Poor	2	3 - Neutral	4	5 - Excellent	N/A
Building	Building - 1 - Poor	Building - 2	Building - 3 - Neutral	Building - 4	Building - 5 - Excellent	Building - N/A
Atmosphere of Property/Complex	Atmosphere of Property/Complex - 1 - Poor	Atmosphere of Property/Complex - 2	Atmosphere of Property/Complex - 3 - Neutral	Atmosphere of Property/Complex - 4	Atmosphere of Property/Complex - 5 - Excellent	Atmosphere of Property/Complex - N/A
Timeliness of Maintenance Request Responses	Timeliness of Maintenance Request Responses - 1 - Poor	Timeliness of Maintenance Request Responses - 2	Timeliness of Maintenance Request Responses - 3 - Neutral	Timeliness of Maintenance Request Responses - 4	Timeliness of Maintenance Request Responses - 5 - Excellent	Timeliness of Maintenance Request Responses - N/A
Quality of Maintenance	Quality of Maintenance - 1 - Poor	Quality of Maintenance - 2	Quality of Maintenance - 3 - Neutral	Quality of Maintenance - 4	Quality of Maintenance - 5 - Excellent	Quality of Maintenance - N/A
Timeliness of Landlord Responses	Timeliness of Landlord Responses - 1 - Poor	Timeliness of Landlord Responses - 2	Timeliness of Landlord Responses - 3 - Neutral	Timeliness of Landlord Responses - 4	Timeliness of Landlord Responses - 5 - Excellent	Timeliness of Landlord Responses - N/A

Would you recommend living here?

Why are you leaving this property?

Select the main reason you are leaving

What did you like about living at this location?

Select all applicable options

What did you not like about living at this location?

Select all applicable options

Expensive rent and utilities

Unsafe or noisy surroundings

Bothersome neighbors

Theft of bikes or other belongings

Commute is too long

Not enough living space

Conflict with landlord or property management company

Lack of amenities

Poorly maintained building

Any other comments?

We welcome any other feedback about your housing experience or landlord. You can list any other reasons for leaving as well as likes/dislikes of your rental situation.

Search

Other ways to search:

Housing Exit Survey

Apartment Properties

Financial

Experience