2 Current Housing

Property

* Property Type

Please select one of following options. If you select other, please provide additional details.

House

Bedsit

Multi Storey Flat

Tenement Flat

Maisonette

Bungalow

Caravan

Other

* Tenure Type

Please select one of following options.

Local Authority

Housing Association

Housing Co-operative

Owner Occupied

Shared Ownership / Equity

Private Rented

* Floor

Please select one of following options. If you select other, please provide additional details.

Basement

Ground

First Floor

Second Floor

Third Floor

Other

* Number of Bedrooms

Please select one of following options.

0 (Bedsit)

1 Bedroom

2 Bedrooms

3 Bedrooms

4 Bedrooms

5 Bedrooms

5+ Bedrooms

Other Information

* Why would you like to move out

Please select at least one of following options.

* Provide Additional Information

Would you stay

Would you be willing to stay in your present home if necessary adaptations could be carried out and an assessment by an Occupational Therapist confirmed it would be possible?

Yes