Strawberry Shores Tenant Survey
Please note that we do not provide individual counseling services to landlords. For general information about fair housing and/or our education services, please visit our website at www.fairhousingnorcal.org.
Preferred Language/
Idioma Preferido
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English
Spanish
First Name
Last Name
Phone Number
Email
Street Address
City
State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
5-Digit Zip / Postal Code
County
Please select...
Marin County
Sonoma County
Solano County
Contra Costa County
Napa County
Alameda County
Mendocino County
Yolo County
Other
How many years have you lived at your current address?
How many people are in your household?
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
What is your gender?
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Female
Male
Transgender Female
Transgender Male
Nonbinary
Other gender
Prefer not to state
What is your race?
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White
Black / African American
Asian
Pacific Islander / Hawaiian
American Indian / Alaska Native
Black and white
Asian and white
Other multi-racial
What is your ethnicity?
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Hispanic / Latinx
Not Hispanic / Latinx
What is your marital status?
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Single, never married
Married
Domestic Partnership
Divorced
Widowed
COMPLAINTS
Have you made complaints to management about anything during your time at Strawberry Shores?
Please select...
Yes
No
If yes:
Do you feel they responded appropriately?
Please select...
Yes
No
Did you make the complaint in writing?
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Yes
No
Do you have a copy of your complaint?
Please select...
Yes
No
Please describe any complaints you made, who you made them to, and the response you received:
MAINTENANCE REQUESTS
Have you made any maintenance requests to management during your time at Strawberry Shores?
Please select...
Yes
No
If yes:
Do you feel they responded appropriately?
Please select...
Yes
No
Did you make the request in writing?
Please select...
Yes
No
Do you have a copy of your request?
Please select...
Yes
No
Please describe any requests you made, who you made them to, and the response you received:
OTHER
Have you encountered any aggressive, rude, or hostile behavior from neighbors or management (owners, resident manager, maintenance worker etc.)? If yes, please describe.
Do you have any other concerns as a tenant that you'd like to share?
Nombre
Apellido
Numero de Teléfono
Correo electrónico
Dirección
Cuidad
Estado
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
C
ó
digo Postal
Condado
Please select...
Marin
Sonoma
Solano
Contra Costa
Napa
Alameda
Mendocino
Yolo
Otro
¿Cuántos años ha vivido en su casa/apartamento?
¿Número de personas en su familia?
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
¿Cuál es su género?
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Mujer
Masculino
Mujer Transgénero
Transgénero Masculino
No-binario
Otro Género
Prefiero no declarar
Etnicidad
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Hispano / Latino
No Hispano / No Latino
Raza
Please select...
Blanco (incluyendo blanco Hispano)
Negro (incluyendo Negro Hispano)
Asiático (incluyendo Asiático Hispano)
Isleño del Pacífico / Hawaiano (incluyendo Hispano)
Indio Americano (incluyendo blanco Hispano)
Negro y blanco (incluyendo blanco Hispano)
Asiático y blanco (incluyendo blanco Hispano)
Otro Multirracial
Estado Civil:
Please select...
Soltero, nunca casado
Casado
Asociación doméstica
Divorciado
Viudo
LA QUEJADA
Usted se ha quejado al gerencia durante su tiempo viviendo en Strawberry Shores?
Please select...
Sí
No
En Caso Afirmativo:
Usted se siente que respondieron adecuadamente?
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Sí
No
Hizo su queja de forma escrita?
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Sí
No
Sí usted se quejo de forma escrita, tiene una copia de la queja?
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Sí
No
Por favor, describa todas las quejas que usted hiciera, a quienes las hiciera y la repuesta que usted recibiera:
PEDIDO AL MANTENIMIENTO
Usted ha hecho alguno pedido al mantenimiento?
Please select...
Sí
No
En Caso Afirmativo:
Usted se siento que respondieron adecuadamente?
Please select...
Sí
No
Hizo su queja de forma escrita?
Please select...
Sí
No
Sí usted se quejo de forma escrita, tiene una copia de la queja?
Please select...
Sí
No
Por favor, describa todas las quejas que usted hiciera, a quienes las hiciera y la repuesta que usted recibiera:
OTROS
Usted ha experimentado comportamiento agresivo, irrespetuoso, o hostil desde sus vecinos o la gerencia (dueños, resident manager, trabajadores de mantenimiento)? En el caso que sí, por favor describe el comportamiento que ha experimentado.
Tiene alguna otra preocupación sobre que la gustaría comentar?
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