HOUSEHOLD QUESTIONNAIRE

Tenant Guidance

Please complete the following questionnaire to enable ACHA to update the information we hold about you and your household.
We need your information and will use your information to undertake and perform our obligations and duties to you in accordance with the terms of our contract with you i.e. the tenancy agreement. We also gather this information about you and the other people who live with you to ensure that we do not discriminate either unlawfully or unfairly, in tenancy related matters.
We have provided you, at the end of this document an explanation of why we need you to provide us with the requested information to allow us to meet our contractual commitments and legal requirements.
The information will be held in line with the General Data Protection Regulation (EU) 2016/679.
You can access ACHAs fair processing notice from our website at: www.acha.co.uk
This will not be shared without the individual’s explicit consent, or as otherwise required in law.

Question Title

* 1. Please Record your Tenant Details as requested Below:

Name of Tenant

Full Address

Date of Birth

Gender

Disability

Marital Status

Home Telephone No

Work Telephone No

Mobile Telephone No

Email Address

What would your Preferred Method of Contact be ?

Any Other Relevant Contact Details

Question Title

* 2. If you have a Joint Tenancy please record further Tenant Details Below:

Name of Joint Tenant

Home Telephone No:

Work Telephone No:

Mobile Telephone No:

Email Address:

What would your Preferred Method of Contact be ?

Question Title

* 3. If their are 3 Tenants within the Household please record
further details below:

Third Tenant

Home Telephone No:

Work Telephone No:

Mobile Telephone No:

Email Address:

What would your Preferred Method of Contact be ?

Question Title

* 4. The Scottish Housing Regulator asks us to report the ethnic origin of our tenants every year based on the groups below:
Please use the code specific to your ethnic origin to record the information in the questionnaire

Tenant 1 Please Read the Options displayed in the Table below and complete Ethnic Origin (PLEASE use the code provided in the Table for Example EO01

Please Complete the Ethnic Origin of Tenant 2 from the Options displayed below (PLEASE use the code provided in the table for Example EO01)

Please Complete the Ethnic Origin of Tenant 3 from the Options displayed below (PLEASE use the code provided in the table for Example EO01)

EO01	SCOTTISH	EO07	BANGLADESHI	EO13	GYPSY/TRAVELLER
EO02	IRISH	EO08	CHINESE	EO14	ANY MIXED BACKGROUND
EO03	OTHER BRITISH	EO09	OTHER ASIAN BACKGROUND	EO15	OTHER ETHNIC BACKGROUND
EO04	OTHER WHITE BACKGROUND	EO10	CARIBBEAN	EO16	POLISH
EO05	INDIAN	EO11	AFRICAN	EO17	ARAB
EO06	PAKISTANI	EO12	OTHER BLACK BACKGROUND	ENOP	DID NOT WANT TO PROVIDE

Question Title

* 5. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE CODE FROM TABLE ABOVE)

DISABILITY

MARITAL STATUS

Question Title

* 6. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE CODE FROM TABLE ABOVE)

DISABILITY

MARITAL STATUS

Question Title

* 7. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE CODE FROM TABLE ABOVE)

DISABILITY

MARITAL STATUS

Question Title

* 8. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE TABLE ABOVE FOR CODE)

DISABILITY

MARITAL STATUS

Question Title

* 9. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE CODE FROM TABLE ABOVE)

DISABILITY

MARITAL STATUS

Question Title

* 10. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE CODE FROM TABLE ABOVE)

DISABILITY

MARITAL STATUS

Question Title

* 11. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

NAME

RELATIONSHIP TO TENANT

DATE OF BIRTH

GENDER

ETHNIC ORIGIN (USE CODE FROM TABLE ABOVE)

DISABILITY

MARITAL STATUS

Question Title

* 12. Please detail any more members of the Household in the box provided

Question Title

* 13. ACHA is Keen to involve Tenants in all the services it provides and offers a number of ways to get involved.
Please let us know if you would like more information by ticking the box(s) below or alternatively you can visit our website at www.acha.co.uk

Membership of Argyll Community Housing Association

Copy of of Get Involved Leaflet

Board of Management

Feedback Forum

Tenants Scrutiny Group

Registered Tenants Associations

Thank you for taking the time to complete your Household Questionnaire

Question Title

* 1. Please Record your Tenant Details as requested Below:

Question Title

* 2. If you have a Joint Tenancy please record further Tenant Details Below:

Question Title

* 3. If their are 3 Tenants within the Household please record further details below:

Question Title

* 4. The Scottish Housing Regulator asks us to report the ethnic origin of our tenants every year based on the groups below:Please use the code specific to your ethnic origin to record the information in the questionnaire

Question Title

* 5. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 6. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 7. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 8. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 9. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 10. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 11. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

Question Title

* 12. Please detail any more members of the Household in the box provided

Question Title

* 13. ACHA is Keen to involve Tenants in all the services it provides and offers a number of ways to get involved.Please let us know if you would like more information by ticking the box(s) below or alternatively you can visit our website at www.acha.co.uk

* 3. If their are 3 Tenants within the Household please record
further details below:

* 4. The Scottish Housing Regulator asks us to report the ethnic origin of our tenants every year based on the groups below:
Please use the code specific to your ethnic origin to record the information in the questionnaire

* 5. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 6. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 7. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 8. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 9. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 10. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 11. DETAILS OF HOUSEHOLD MEMBERS PERMANENTLY LIVING AT THIS ADDRESS
Please record all members of your household that permanently reside with you under Questions 5 to 11 until all members are listed on this form

* 13. ACHA is Keen to involve Tenants in all the services it provides and offers a number of ways to get involved.
Please let us know if you would like more information by ticking the box(s) below or alternatively you can visit our website at www.acha.co.uk