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Tenant Complaint Form
Thank you for providing your feedback and opinions regarding tobacco-free living. Your responses will help us better advocate for tobacco-free multi-family properties.
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* Indicates required question
Email
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Your email
May we use your name? Or do you prefer to be anonymous?
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Yes, you may use my name
No, I prefer to remain anonymous
What is your name and email/phone number? If you chose to be anonymous, your name will not be used in any correspondence with the company, it will just be used for our records.
Your answer
Please provide us the name of your complex, property manager and property contact information.
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Your answer
Have you considered moving to an apartment property that has a smoke-free policy?
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Yes
No
How likely are you to move to another property if a policy is not put into place?
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Not likely
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Highly likely
How concerned are you about secondhand smoke?
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Not very concerned
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Is highly concerned
How concerned are you about secondhand smoke in your apartment complex/apartment building?
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Not very concerned
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Is highly concerned
How often can you smell cigarette smoke in your unit?
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Never
Rarely
Sometimes
Often
Very often
Have you heard your neighbors or other tenants complain about smoking and tobacco use in your apartment complex/apartment building?
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Yes
No
Is there anything else you would like us to know before we contact the management of your property?
Your answer
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