Room in a Shared House, Westby Road, BH5

Please complete and send the following Questionnaire if you're interested in renting this property:
Name:
Contact Number:
Email Address:
Age:
1. I prefer to start the rent from:
2. If I like the house I plan to stay for:
a. 6 months or under
b. 10 months or under
c. 12 months
d. 12 months or more
3. How much do you pay at your current address?
4. Do you have pets? (YES/NO)
5. Do you have children or expected to have child or children to live with you? (YES/NO)
6. Do you smoke? (YES/NO)
7. Do you have criminal record? (YES/NO)
8. Do you have history of substance abuse? (YES/NO)
9. CCJ/Bad debt? (YES/NO)
10. Reason of moving? a. new job/new schoolb. current accommodation contract due c. better commutingd. better affordability
11. Employer’s name:
12. You job title
13. Wage £ p/a p/cm p/wk (delete as appropriate) Full Time / Part Time
14. Liability monthly payments (Automobile finance payment/credit card etc):