Control Number
Tester ID
Appointment Contact Form sequence:
Tester Type
Was appointment scheduled?
Date that contact was attempted (mm/dd/yyyy)
Date (mm/dd/yyyy) of scheduled appointment
Day of the week
Day of the week that contact was attempted
Who initiated contact?
If appointment was NOT scheduled, why not?
Site
if appointment was NOT scheduled and you selected other, please specify:
This form is complete
Time that contact was attempted (hh:mmAM/PM)
Time (hh:mm)
Type of contact
After you conveyed your sexual orientation to the agent, were you told that there were no units available, were you unable to obtain rental information for a unit(s), or did the agent hang up?
If after you conveyed your sexual orientation to the agent, you were told that there were no units available, you were unable to obtain rental information for a unit(s), or the agent hung up, please specify:
If you were not able to reach someone who was able to provide information, why not?
If you indicated other as the reason why you were not able to reach someone who was able to provide information, specify:
Were you able to reach someone who was able to provide information?
When you conveyed your sexual orientation to the agent, please indicate what language you used to reference your partner/spouse: