East Bay DSA: COVID-19 Housing Survey
Are you or your neighbors struggling to pay rent next month? Is your landlord harassing you for paperwork? Looking to organize? Fill out this form and we'll get in touch. Tenants need to band together during this crisis and prevent the worst of disaster capitalism.

*The intent of this intake sheet is to support and build up organizing structures to win cancellation of rents and mortgages. We do not have the capacity to provide individual legal advice or to represent people in any legal matter.*
Name *
Your answer
Street Address *
Your answer
City *
Your answer
Email *
Your answer
Phone
Your answer
Which of the following best describes your living situation? *
Which of the following describes the building you live in? *
If multi-unit building approximately how many units are there?
Your answer
If you're in an apartment building with other units, what kind of relationship do you have with your neighbors? Has there been any past organizing among other tenants or against your landlord?
Your answer
Have you experienced a loss of income directly related to Covid-19?
Your answer
Are you current in your rent or have you already skipped a rent payment?
Your answer
What is your current relationship to your landlord? Beyond concerns over your rent, do you have other complaints about your housing?
Your answer
Would you like to help organize other tenants as part of a campaign to win rent and mortgage forgiveness during the Covid-19 crisis? We'll provide training and resources. *
Are you a member of East Bay DSA? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy