Housing 21 - Resident engagement - Extra Care application

Consent for storing submitted data *

Yes, I give permission to store and process my data

No, I don't consent to storing and processing my data

Tenure *

Rented

Shared Ownership

Leasehold

Title *

Full name *

Name of your scheme *

Apartment/Flat number *

Phone number *

Email address *

Are we able to send you emails to this address? *

Yes

No

Do you need to have information sent to you in an alternative format? *

Yes

No

Please specify what format.

Preferred method of contact *

Email

Phone

Post

Topics for resident engagement discussions

Some suggested topics for focused resident engagement are below. Can you please rank them in order of most interest to you (starting with 1) and include any other topics you feel should be discussed.

Care quality *

Housing / operational management including recruitment *

Service charges including value for money and contractors *

Strategy and policy *

Communications / literature *

Equality, diversity and inclusion *

Catering *

Health and safety *

Being a dementia-friendly organisation *

Other

Skills and experience

Digital engagement

Do you have access to any of the following? *

Microsoft Teams

Zoom

Skype

FaceTime

None

Would you like support with learning to use any of the above? *

Yes

No

Don't know

If you answered No, why?

Social media presence

Are you on any of the following social media channels? *

Facebook

Twitter

Instagram

None

Privacy Policy

Housing 21 will process the personal information collected from this application to support resident engagement. For further information about how we may process your data, please view Housing 21's full Privacy Statement here: https://www.housing21.org.uk/corporate/privacy/