Large Scale Cognitive Testing

APPENDIX C: HOUSING SEARCH LOG

Thank you for participating in the Housing Search Study!

To help you keep track of your housing search—from the homes you call to the homes you visit-- we’ve provided this housing search log. Please have this log on hand for your follow up calls, which you can expect on or around ______ and ______.

Filling out this log is not hard!

Try to be as accurate as possible.

We recognize you won’t remember everything, and that’s OK.*

We also realize you won’t spend time each day searching for housing—when that happens, just fill in a page of the log and check the box at the bottom.

How to fill in this log:

• Every day, do your best to fill out the log.

• If you started searching before you receive this log, do the best you can to fill out what you’ve done so far

• Fill out a separate page for each day to keep track of how many calls you made or emails you sent.

• When referring to an earlier unit, use the “Unit ID #”.

• For each unit you VISIT in person, fill out a separate “UNIT VISIT” page. If you decide to complete an application or end up renting the unit, make a note of that.

• There are also maps included in this log for you to reference as you search.

If you have any questions about this study, the log, or what we’re asking you to do, you can call 1-800-XXX-XXXX.

*Language adapted from Sobell, L.C., and Sobell, M.B. 2000

Today’s Date:__________________

What did you do today to search for housing? Check all that apply.

• Browsed on the internet (what websites?)______________________________________

• Browsed newspapers, or other paper ads (which ones?)_______________________

• Talked to friends/coworkers/others

• Called numbers from bulletin boards or signs on buildings (where?)_______________________

• Met with a rental agent

• Visited Units  fill out a “Unit visit” page

• Contacted landlords fill out bottom of this page

• Other (describe)______________________________________________________________________

• I didn’t search for housing today.

Contacting Landlords:

Units called about or emailed today:

Available? How did you hear about this unit?

1	Address Price/month # Bedrooms
2	Address of unit Price # Bedrooms
3	Address of unit Price # Bedrooms

Units I contacted earlier that I heard back from today: (list street name & outcome)

Other notes about my search today:

Visiting Units: Any time you visit a unit, fill out an entry for it.

Date of visit: ___/___/______

Address of Unit (House #, Street, City, Zip): _____________________________________________________

Circle One: House Apartment Trailer Condo Room in House Other _____________

How did you hear about the unit?

# bedrooms	# bathrooms	# Square Feet	Rent Per Month	Includes Utilities?

What was the unit like?

What was the neighborhood like?

What was your experience with the landlord or management company like?

Other notes:

Will you submit an application? Circle one Yes Date submitted________

No If no, why not?

Is there an application fee? Circle One Yes If yes, how much?_______ No

Is there a fee for a credit check? Circle One Yes If yes, how much? ______________ No

Final outcome:

(Example: I decided against this unit because don’t want to pay application fee. I never heard back from landlord. I rented this unit)

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