Exit this survey Legislative Session Rental Housing Information Survey Legislative Session Rental Housing Information Survey Please describe the rental space you have available. Contact Sarah Wirfs (Sarah.Wirfs@oregonlegislature.gov ) with any questions you may have. Question Title * 1. Date rental is available: Date Available: Question Title * 2. Type of Rental: Apartment House Duplex Condo Mobile Home Room Only Question Title * 3. If room only: Kitchen Privileges Private Bath Question Title * 4. Is the space furnished: Yes No Question Title * 5. Garage: Yes No Question Title * 6. Carport Yes No Question Title * 7. # of Bedrooms: Question Title * 8. # of Bathrooms: Question Title * 9. Pets okay? Yes No Question Title * 10. Utilities Included: Water Gas Heat Cable TV Electricity Phone Wash/Dryer Question Title * 11. Rental Address: Question Title * 12. Monthly Rent: ($) Question Title * 13. Deposit Required: ($) Question Title * 14. Contact Name: Question Title * 15. Email Address: Question Title * 16. Home Phone Number: Question Title * 17. Work Phone Number: Question Title * 18. Cell Phone Number: Question Title * 19. Comments: *The anticipated need for housing will be during Session only. Done