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TENANT'S PROFILE & COMMUNITY DEVELOPMENT SURVEY
 
 
  1. Date:
 
   
  2. Name of the Building / Property (for office use only):
 
   
  Housing Supervisor:
 
   
  4. Area within Pretoria CBD (West, South, etc):
 
   
  5. Unit Number:
 
   
  6.a) Number of Family members currently residing in your unit:
 
   
  6.b) Total number of people residing in the unit:
 
   
  6.c) People Residing in the unit:
     
  No. of Males:
  No. of Females:
     
  6.d) How many dependants do you have that are not living with you?
 
   
  6.e) Please give a reason why they are not living with you at the moment?
   
 
   
  7a). Which race do the residents in your unit (including yourself) belong to?
     
  Black
  White
  Indian
  Coloured
  Mixed race
  Other
     
  7.b) If you chose "Other race" please specify:
 
   
  8a). Are you a South African Citizen?
     
  Yes
  No
     
  8.b) If you selected no (SA citizen) Please specify:
 
   
  9. For how long have you been living in this unit?:
 
   
   
 

*** Please fill in the table of individual data at the end of this survey...This information is very important!

   
  10.a) Have you identified any safety & security issues that you would like to have addressed?
     
  Yes
  No
     
  10.b) if Yes please explain:
 
   
   
 

11. Could you rate the following services: (0 = poor, 2 = average, 4 = excellent)

   
  11.1 Sports (Netball, Soccer, karate)
     
  0
  1
  2
  3
  4
     
  11.2 Programmes for children (e.g. holiday programmes)
     
  0
  1
  2
  3
  4
     
  11.3 Parent involment (e.g. Families matter programme)
     
  0
  1
  2
  3
  4
     
  11.4 Outreach, volunteering and charitable initiatives
     
  0
  1
  2
  3
  4
     
  11.5 Drop-in centre
     
  0
  1
  2
  3
  4
     
  11.6 Job skills training (e.g. Rotary life skills workshops)
     
  0
  1
  2
  3
  4
     
  11.7 Educational support (Homework assistance & tutoring)
     
  0
  1
  2
  3
  4
     
  11.8 Day Care Centre
     
  0
  1
  2
  3
  4
     
  11.9 Christmas in the Park
     
  0
  1
  2
  3
  4
     
  11.10 Feast of the Clowns
     
  0
  1
  2
  3
  4
     
  11.11 Creative Arts (e.g. pageant, talent shows)
     
  0
  1
  2
  3
  4
     
  11.12 Medical programmes & support
     
  0
  1
  2
  3
  4
     
  11.13 Social work consultation
     
  0
  1
  2
  3
  4
     
  11.14 Internet & Wi Fi service
     
  0
  1
  2
  3
  4
     
  11.15 Counseling / post trauma sessions or support groups
     
  0
  1
  2
  3
  4
     
  11.16 Are the employees at YCH friendly and helpfull?
     
  0
  1
  2
  3
  4
     
  11.17 Are your queries answered?
     
  0
  1
  2
  3
  4
     
  11.18 Cleaning of the communal areas
     
  0
  1
  2
  3
  4
     
  11.19 What do you think about the time between complaining and fixing of maintenence problems
     
  0
  1
  2
  3
  4
     
  12. Are you happy with the way basic household services (electricity, water, waste removal) are provided?
     
  Yes
  No
     
  12.b If no, please state your complaint below and make suggestions/ give ideas for how the service provision can be improved:
   
 
   
  13. Do you have problems with DSTV signal reception or a weak signal on your device?
     
  Yes
  No
     
  13.b If yes, please state your network provider:
 
   
 


 
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