Help Us Find Your Perfect Home Rental

Fill out this questionnaire, and we’ll help you find the perfect home rental for your family! We will do our best to place you in your dream area.

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- Step 1 of 6

Affordable Luxury Housing Overview

Are you a voucher holder? *

• Yes
• No

What program is your voucher from? *

• Section 8
• CHA HCV
• HUD VASH
• Catholic Charities
• Cook County
• Other

What’s the full name of your housing program supervisor?

What’s the phone number of your housing program supervisor?

How many bedrooms does your voucher cover? *

• 1
• 2
• 3
• 4
• 5
• 6+

What is the $ amount of your voucher? *

What is your expected $ contribution on your Rental Burden Form? *

Do you have your move-in papers? *

• Yes
• No

What date does your voucher expire? *

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Family Details

How many people will be residing in the home? *

What are the full names and ages of individuals over 17 years old? *

What are the names and ages of children in the household? *

When was the last time you deep cleaned your home? (i.e., clean the entire home from top to bottom, including - scrubbing the bathroom tub, mopping the floors with soap, and dusting for cobwebs) *

• Within the last two weeks
• 1 month ago
• 2 months ago
• More than 3 months ago
• More than 6 months ago

Does any of these apply to you or anyone who will be residing in the home? *

• Has pet(s)
• Has a desire to have pet(s) in the future
• Has been evicted in the last 7 years
• Has filed 2 or more bankruptcies in the last 7 years
• Had filed 1 or more lawsuits against the previous landlord
• Smoke or vape
• Owes more than $10,000 in collections, charge-offs, or both combined
• Current home in a short sale or foreclosure
• None of the above

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Requested Housing Details

What is the top preferred area you are interested in moving to? *

• Roseland
• West Pullman
• Pullman
• Washington Heights
• Beverly
• Morgan Park
• Mount Greenwood
• Ashburn
• Chicago Lawn
• West Lawn
• West Woodlawn
• South Shore
• Calumet Height
• West Chesterfield
• East Side
• None of the Above - please specify

Can you share the #1 neighbor you want to move to? *

What other areas are you interested in moving to? (Select up to 3) *

• Roseland
• West Pullman
• Pullman
• Washington Heights
• Beverly
• Morgan Park
• Mount Greenwood
• Ashburn
• Chicago Lawn
• West Lawn
• West Woodlawn
• South Shore
• Calumet Height
• West Chesterfield
• East Side

Which area do you wish to avoid? *

• Roseland
• West Pullman
• Pullman
• Washington Heights
• Beverly
• Morgan Park
• Mount Greenwood
• Ashburn
• Chicago Lawn
• West Lawn
• West Woodlawn
• South Shore
• Calumet Height
• West Chesterfield
• East Side
• Other Areas - please specify
• Not Applicable - I'm open to any area

Can you share why you wish to avoid these areas? The more specific you are, the better we can serve you and future residents. *

How long have you lived at your current rental? *

• Less than 6 months
• 6 months - 1 year
• 1-2 years
• 2-5 years
• Over 5 years

Why are you looking to move? *

How soon are you looking to move? *

• ASAP (yesterday)
• Within 30 days
• 1-2 months
• 2-4 months
• Over 4 months (I'm flexible)

Are you prepared to sign a lease in the next 7 days? *

• Yes
• No

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Your Career and Income Overview

Are you currently an employee, self-employed, or unemployed? *

• An employee
• Self-employed
• Unemployed

What is your current occupation? *

Have you filed taxes and have proof of your income? *

• Yes, I have filed taxes and have proof of income
• No, I have not filed taxes

What is your approximate monthly income? (including Social Security Income) *

How much is your total monthly debt payment (including car, medical, student, personal, and credit card payments)? *

How long have you been in your current career? *

• Less than 1 year
• 1-2 years
• 2-3 years
• 3-5 years
• Over 5 years

What is the name of your current employer/business? *

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Feedback Section

What’s the most frustrating thing about finding quality affordable housing?

How will having an affordable program help you?

In 5 words or less, what should be a memorable name to call this program? (P.S. If we select your name, we’ll give you a $50 Amazon gift card as a way to say thank you)

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Your Contact Information

Name *

First

Last

Email *

Phone *

What other comments, questions, or feedback do you have for us?

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