Questionnaire

All information gathered is completely confidential and your details will not be identified to anyone outside of the MTU

First Name

Last Name

Phone

Gender

Ethnicity

Age

International Status

Student Status

Employment Status

How many people do you live with?

Do you have children under 18 living with you?

Who is your landlord?

How did you find out about the MTU?

If you found MTU through another agency, which agency was it?

How did you first contact the MTU?

What are the main housing issue/s you came to the MTU with?

Any further information you wish to add?

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