Tenant Survey The information you supply on this tenant survey is for the use of Tenant Benefits Alliance Inc. and will be used for the development of future products and services for its members. Personal information will not be shared with or sold to landlords, or other businesses or persons. * indicates required fields    Your Full Name:   *Your Street Address:   Your Apt./Unit #:   *City / Town:   *State / Prov. / District:   *Country:   *Your e-mail address:   *Type of Building You Live In: Duplex Triplex 4 plex 6 plex 8 plex Rooming House Low Density (10-49 Units) High Density (50+ Units) Town House House Condominium Rural or Farm Multi-unit Retirement Residence   *How long have you lived at this address?: LESS than 6 months LESS than 1 year MORE than 1 year MORE than 3 years MORE than 5 years MORE than 10 years MORE than 20 years   *Are you a member of a tenant association?:  No  Yes   *Do you have a home business?:  No  Yes   *Do you have content & liability insurance?:  No  Yes   *How many children under 17 yrs live in your unit?: None 1 2 3 4 More than 4   *How many adults 18 - 64 yrs live in your unit?: None 1 2 3 4 5 More than 5   *How many seniors 65+ live in your unit?: None 1 2 3 4 More than 4   *I plan to purchase in the next 12 months::  Home or Condo  Vacation Property  Purchase NEW car / truck / van  Lease NEW car / truck / van  Purchase USED car / truck / van  Home Electronics  Furniture  Vacation  Investment(s)  No major purchases   *Do you rent storage away from your building?:  No  Yes   *Do you have a pet?: NO Dog Cat Other   If you are a senior, do you plan to purchase:  Personal Mobility Equipment  Attendent Care Service  Home Cleaning Service  No Special Needs Please click on the Submit button to submit the form details.

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