Control Number
Tester ID
Follow-up Form Sequence Number
Tester Type
Was there any follow up contact?
Date of contact (mm/dd/yyyy)
Time (hh:mm)
Type of contact
Agent contacted to confirm appointment.
Agent contacted to cancel appointment.
Agent called to confirm cancellation of appointment By tester.
Agent wanted to know if tester would like to reschedule appointment.
Personal message from housing provider asking if tester is still interested in housing.
Personal message from housing provider wanting to let tester know about more available units.
Personal message from housing provider wanting to get more information from tester.
Other type of message
Personal message from housing provider thanking tester for calling or visiting and/or asking if tester has any additional questions.
Other, specify
Site
This form is complete.
Day of the week (of contact)
Who initiated contact?
Automated message (call or e-mail) from housing provider thanking tester for calling or visiting and/or providing additional general information.
Automated message asking tester to take part in a marketing survey or something similar.