Name of Tenants:

Tenant 1: *

Tenant 2:

Address:

House Number:

Address Line 1:

Address Line 2:

County:

Postcode:

I/ We understand that the tenancy will end 4 weeks on Monday and I/ we will return the keys by noon of that day. South Lakes Housing will confirm your tenancy end date in writing*.

*Please note: where a tenant is deceased the tenancy will end as soon as the keys have been returned

Contact Number: *

Email Address: *

Future Address or Power of Attorney/Executors Address

House Number:*

Address Line 1:*

Address Line 2:

County:*

Postcode:*

Power of Attorney/Executors Name:

If applicable please provide a copy of the Power of Attorney or the Death Certificate.

We are sorry you are leaving and would ask if you would assist us by completing this short questionnaire. The feedback you give us will help us improve the service we provide to you and other tenants in the future.

Would you recommend SLH as a landlord to a family member or friend?
YesNo

Any Comments:

How you would rate South Lakes Housing as a Landlord?
Very GoodGoodOkayNot GoodPoor

I am moving to…
Live with relativesLive with my partnerBuy a homeAnother housing associationA private rented property

If you are moving to another housing association property what is the name of the organisation

How did you hear about your new home?

Please tell us why you are moving (please tick all that apply).
Buying own homeNeed larger homeFinancial reasonsNearer to friends/familyNeed smaller homeUnhappy with SLHNearer to work/collegeProblems with nuisanceMedical reasonRelationship breakdownState of repair of homeNeed more supportLack of car parkingUnhappy with the neighbourhoodMoved into Residential Care
Other, please tell us:

Have you registered with Cumbria Choice?
YesNo

Did you obtain your new property through Cumbria Choice?
YesNo

What could SLH have done differently to persuade you to remain in your home?
Completed my repairsAllocated me a larger propertyMade my home more secureTransferred me to another propertyDealt with the anti-social behaviourGiven me more choice about where I livedReduced my rent
Other, please tell us: