Current accommodation details No fixed abode Rehab unit Private rented Rough sleeping Prison Council tenancy with __________________________ Sofa surfing Hospital Housing association tenancy with ________________ Friends / family Foster care Hostel provided by ____________________________ Bed & Parental home Supported housing with ________________________ breakfast Housing History Have you ever lived in shared No Yes accommodation? (Not including friends / family) If yes, what was your experience like? Have you ever lived in independent No Yes accommodation? If yes, please give details, including dates, type of housing and reason for loss of tenancy Where have you lived for the past five years? (Include any hospital or prison stays) Address From To Reason for leaving Have you ever been evicted? No Yes
Current accommodation details No fixed abode Rough sleeping Sofa surfing Friends / family Parental home Rehab unit Prison Hospital Foster care Bed & breakfast Private rented Council tenancy with __________________________ Housing association tenancy with ________________ Hostel provided by ____________________________ Supported housing with ________________________ Housing History Have you ever lived in shared accommodation? (Not including friends / family) No Yes If yes, what was your experience like? Have you ever lived in independent accommodation? No Yes If yes, please give details, including dates, type of housing and reason for loss of tenancy Where have you lived for the past five years? (Include any hospital or prison stays) Address From To Reason for leaving Have you ever been evicted? No Yes