screening call log
Attachment B_ScreeningCallLog.docx
Focus Groups about the Housing Search Process for Lesbian, Gay, Bisexual, and Transgender (LGBT) People
screening call log
OMB: 2528-0300
Document [docx]
Download: docx | pdf
THE
URBAN INSTITUTE 2100 M
STREET, N.W. / WASHINGTON D.C. 20037
Screening Call Log
Name |
Housing Professional Yes/No |
Sexual Orientation? L/G/H |
Gender Identity? TW/W/TM/M |
Year Born / Age? |
Available at time of focus group? |
Able to travel to focus group location? |
Participate in Focus Group? Yes/No |
Phone Number / Email Preference? |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | h21271 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |
© 2024 OMB.report | Privacy Policy