JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Untitled form
Sign in to Google
to save your progress.
Learn more
Company Name (Owner, Property Manager, Strata Corporation or Society):
Your answer
Contact Person (First and last name)
Your answer
Contact Phone
Your answer
Contact Email
Your answer
Website
Your answer
Property Name
Your answer
Address (street, city, state, zip)
Your answer
District Health Authority
Your answer
Type of Building
Multiple Unit Complex
Rental House with Suites
Duplex
Townhouse
Other:
Clear selection
Housing Type
Rental- Market Rate
Condominium
Rental-Subsidized
Co-op
Other:
Clear selection
Target PopulationSeniorsFamiliesPeople with disabilitiesAboriginals
Seniors
Families
People with Disabilities
Aboriginals
Other:
Clear selection
Current Smoke-Free Policy
Prohibited in All Units & on All Balconies, Patios and Decks
Prohibited on Entire Outside Property as well as in All Units, and on Balconies, Patios, Decks
Prohibited in All Indoor Units but Allowed on Private Balconies, Patios, Decks
Designated Smoking Area on Outside Property with smoking Prohibited in Units and on Balconies, Patios, Decks
Clear selection
Additional Information (i.e. Existing Policies Such as Pet Policy, Barbeque Policy, Age Policy)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
