{ "form_type": "lettings", "start_date": "2021-04-01T00:00:00.000+01:00", "end_date": "2022-07-01T00:00:00.000+01:00", "sections": { "setup": { "label": "Before you start", "subsections": { "setup": { "label": "Set up your lettings log", "pages": { "organisation_details": { "header": "Organisation details", "description": "", "questions": { "property_owner_organisation": { "check_answer_label": "Owning organisation", "header": "Which organisation owns this property?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "A" }, "1": { "value": "B" } } }, "property_manager_organisation": { "check_answer_label": "Managing organisation", "header": "Which organisation manages this property?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "A" }, "1": { "value": "B" } } } } }, "needs_type": { "header": "", "description": "", "questions": { "needstype": { "check_answer_label": "Needs type", "header": "What is the needs type?", "hint_text": "", "type": "radio", "answer_options": { "1": { "value": "General needs" }, "0": { "value": "Supported housing" } } } } }, "renewal": { "header": "", "description": "", "questions": { "renewal": { "check_answer_label": "Property renewal", "header": "Is this letting a renewal?", "hint_text": "A renewal is a letting to the same tenant in the same property.", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } } } } }, "startdate": { "header": "", "description": "", "questions": { "startdate": { "check_answer_label": "Tenancy start date", "header": "What is the tenancy start date?", "hint_text": "For example, 27 3 2021.", "type": "date" } } }, "rent_type": { "header": "", "description": "", "questions": { "rent_type": { "check_answer_label": "Rent type", "header": "What is the rent type?", "hint_text": "", "type": "radio", "answer_options": { "1": { "value": "Affordable rent" }, "2": { "value": "London Affordable Rent" }, "4": { "value": "London Living Rent" }, "3": { "value": "Rent to Buy" }, "0": { "value": "Social Rent" }, "5": { "value": "Other intermediate rent product" } }, "conditional_for": { "intermediate_rent_product_name": [ "Other intermediate rent product" ] } }, "intermediate_rent_product_name": { "check_answer_label": "Product name", "header": "What is intermediate rent product name?", "type": "text" } } }, "tenant_code": { "header": "", "description": "", "questions": { "tenant_code": { "check_answer_label": "Tenant code", "header": "What is the tenant code?", "hint_text": "This is how you usually refer to this tenancy on your own systems.", "type": "text", "width": 10 } } }, "property_reference": { "header": "", "description": "", "questions": { "propcode": { "check_answer_label": "Property reference", "header": "What is the property reference?", "hint_text": "This is how you usually refer to this property on your own systems.", "type": "text", "width": 10 } } } } } } }, "household": { "label": "About the household", "description": "Make sure the tenant has seen the Department for Levelling Up, Housing & Communities (DLUHC) privacy notice before completing this section.", "subsections": { "household_characteristics": { "label": "Household characteristics", "depends_on": [ { "setup": "completed" } ], "pages": { "person_1_age": { "header": "", "description": "", "questions": { "age1": { "check_answer_label": "Tenant’s age", "header": "What is the tenant’s age?", "hint_text": "", "type": "numeric", "min": 0, "max": 120, "step": 1, "width": 2 } } }, "sex1": { "header": "", "description": "", "questions": { "sex1": { "check_answer_label": "Tenant’s gender", "header": "Which of these best describes the tenant’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } } } }, "tenant_ethnic_group": { "header": "", "description": "", "questions": { "ethnic": { "check_answer_label": "Ethnicity", "header": "What is the tenant’s ethnic group?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "White: English, Welsh, Scottish, Northern Irish or British" }, "1": { "value": "White: Irish" }, "2": { "value": "White: Gypsy or Irish Traveller" }, "3": { "value": "White: Other" }, "4": { "value": "Mixed: White and Black Caribbean" }, "5": { "value": "Mixed: White and Black African" }, "6": { "value": "Mixed: White and Asian" }, "7": { "value": "Mixed: Other" }, "8": { "value": "Asian or Asian British: Indian" }, "9": { "value": "Asian or Asian British: Pakistani" }, "10": { "value": "Asian or Asian British: Bangladeshi" }, "11": { "value": "Asian or Asian British: Chinese" }, "12": { "value": "Asian or Asian British: Other" }, "13": { "value": "Black: Caribbean" }, "14": { "value": "Black: African" }, "15": { "value": "Black: Other" }, "16": { "value": "Other Ethnic Group: Arab" }, "17": { "value": "Other Ethnic Group: Other" }, "18": { "value": "Prefer not to say" } } } } }, "tenant_nationality": { "header": "", "description": "", "questions": { "national": { "check_answer_label": "Nationality", "header": "What is the tenant’s nationality?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "UK national resident in UK" }, "1": { "value": "UK national returning from residence overseas" }, "2": { "value": "Czech Republic" }, "3": { "value": "Estonia" }, "4": { "value": "Hungary" }, "5": { "value": "Latvia" }, "6": { "value": "Lithuania" }, "7": { "value": "Poland" }, "8": { "value": "Slovakia" }, "9": { "value": "Bulgaria" }, "10": { "value": "Romania" }, "11": { "value": "Ireland" }, "12": { "value": "Slovakia" }, "13": { "value": "Slovenia" }, "14": { "value": "Croatia" }, "15": { "value": "Other EU Economic Area (EEA country)" }, "16": { "value": "Any other country" }, "17": { "value": "Prefer not to say" } } } } }, "person_1_economic": { "header": "", "description": "", "questions": { "ecstat1": { "check_answer_label": "Work", "header": "Which of these best describes the tenant’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } } }, "soft_validations": { "override_net_income_validation": { "check_answer_label": "Net income confirmed?", "type": "validation_override", "answer_options": { "override_net_income_validation": "Yes" } } } }, "household_number_of_other_members": { "header": "", "description": "", "questions": { "other_hhmemb": { "check_answer_label": "Number of other household members", "header": "How many other people are there in the household?", "hint_text": "The maximum number of others is 7.", "type": "numeric", "min": 0, "max": 7, "step": 1, "width": 2, "conditional_for": { "relat2": ">0", "age2": ">0", "sex2": ">0", "ecstat2": ">0", "relat3": ">1", "age3": ">1", "sex3": ">1", "ecstat3": ">1", "relat4": ">2", "age4": ">2", "sex4": ">2", "ecstat4": ">2", "relat5": ">3", "age5": ">3", "sex5": ">3", "ecstat5": ">3", "relat6": ">4", "age6": ">4", "sex6": ">4", "ecstat6": ">4", "relat7": ">5", "age7": ">5", "sex7": ">5", "ecstat7": ">5", "relat8": ">6", "age8": ">6", "sex8": ">6", "ecstat8": ">6" } }, "relat2": { "check_answer_label": "Person 2’s relationship to lead tenant", "header": "What’s person 2’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up", "hint": "Must be eligible for child benefit, aged under 16 or under 20 if still in full-time education." }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age2": { "check_answer_label": "Person 2’s age", "header": "What’s person 2’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex2": { "check_answer_label": "Person 2’s gender", "header": "Which of these best describes person 2’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat2": { "check_answer_label": "Person 2’s Work", "header": "Which of these best describes person 2’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } }, "relat3": { "check_answer_label": "Person 3’s relationship to lead tenant", "header": "What’s person 3’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up", "hint": "Must be eligible for child benefit, aged under 16 or under 20 if still in full-time education." }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age3": { "check_answer_label": "Person 3’s age", "header": "What’s person 3’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex3": { "check_answer_label": "Person 3’s gender", "header": "Which of these best describes person 3’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat3": { "check_answer_label": "Person 3’s Work", "header": "Which of these best describes person 3’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } }, "relat4": { "check_answer_label": "Person 4’s relationship to lead tenant", "header": "What’s person 4’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up", "hint": "Must be eligible for child benefit, aged under 16 or under 20 if still in full-time education." }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age4": { "check_answer_label": "Person 4’s age", "header": "What’s person 4’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex4": { "check_answer_label": "Person 4’s gender", "header": "Which of these best describes person 4’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat4": { "check_answer_label": "Person 4’s Work", "header": "Which of these best describes person 4’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } }, "relat5": { "check_answer_label": "Person 5’s relationship to lead tenant", "header": "What’s person 5’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up", "hint": "Must be eligible for child benefit, aged under 16 or under 20 if still in full-time education." }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age5": { "check_answer_label": "Person 5’s age", "header": "What’s person 5’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex5": { "check_answer_label": "Person 5’s gender", "header": "Which of these best describes person 5’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat5": { "check_answer_label": "Person 5’s Work", "header": "Which of these best describes person 5’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } }, "relat6": { "check_answer_label": "Person 6’s relationship to lead tenant", "header": "What’s person 6’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up", "hint": "Must be eligible for child benefit, aged under 16 or under 20 if still in full-time education." }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age6": { "check_answer_label": "Person 6’s age", "header": "What’s person 6’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex6": { "check_answer_label": "Person 6’s gender", "header": "Which of these best describes person 6’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat6": { "check_answer_label": "Person 6’s Work", "header": "Which of these best describes person 6’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } }, "relat7": { "check_answer_label": "Person 7’s relationship to lead tenant", "header": "What’s person 7’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up" }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age7": { "check_answer_label": "Person 7’s age", "header": "What’s person 7’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex7": { "check_answer_label": "Person 7’s gender", "header": "Which of these best describes person 7’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat7": { "check_answer_label": "Person 7’s Work", "header": "Which of these best describes person 7’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } }, "relat8": { "check_answer_label": "Person 8’s relationship to lead tenant", "header": "What’s person 8’s relationship to lead tenant", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Partner" }, "1": { "value": "Child - includes young adult and grown-up" }, "2": { "value": "Other" }, "3": { "value": "Prefer not to say" } } }, "age8": { "check_answer_label": "Person 8’s age", "header": "What’s person 8’s age", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "sex8": { "check_answer_label": "Person 8’s gender", "header": "Which of these best describes person 8’s gender identity?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Female" }, "1": { "value": "Male" }, "2": { "value": "Non-binary" }, "3": { "value": "Prefer not to say" } } }, "ecstat8": { "check_answer_label": "Person 8’s Work", "header": "Which of these best describes person 8’s working situation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Part-time - Less than 30 hours" }, "1": { "value": "Full-time - 30 hours or more" }, "2": { "value": "In government training into work, such as New Deal" }, "3": { "value": "Jobseeker" }, "4": { "value": "Retired" }, "5": { "value": "Not seeking work" }, "6": { "value": "Full-time student" }, "7": { "value": "Unable to work because of long term sick or disability" }, "8": { "value": "Child under 16" }, "9": { "value": "Other" }, "10": { "value": "Prefer not to say" } } } } } } }, "household_situation": { "label": "Household situation", "depends_on": [ { "setup": "completed" } ], "pages": { "time_lived_in_la": { "header": "", "description": "", "questions": { "layear": { "check_answer_label": "Length of time in local authority area", "header": "How long has the household continuously lived in the local authority area of the new letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Just moved to local authority area" }, "1": { "value": "Less than 1 year" }, "2": { "value": "1 year but under 2 years" }, "3": { "value": "2 years but under 3 years" }, "4": { "value": "3 years but under 4 years" }, "5": { "value": "4 years but under 5 years" }, "6": { "value": "5 years or more" }, "divider": { "value": true }, "7": { "value": "Don’t know" } } } }, "depends_on": [{ "renewal": "No" }] }, "time_on_la_waiting_list": { "header": "", "description": "", "questions": { "lawaitlist": { "check_answer_label": "Length of time on local authority waiting list", "header": "How long has the household been on the local authority waiting list for the new letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Just moved to local authority area" }, "1": { "value": "Less than 1 year" }, "2": { "value": "1 year but under 2 years" }, "3": { "value": "2 years but under 3 years" }, "4": { "value": "3 years but under 4 years" }, "5": { "value": "4 years but under 5 years" }, "6": { "value": "5 years or more" }, "divider": { "value": true }, "7": { "value": "Don’t know" } } } }, "depends_on": [{ "renewal": "No" }] }, "reason_for_leaving_last_settled_home": { "header": "Leaving their last settled home", "description": "", "questions": { "reason": { "check_answer_label": "Reason for leaving last settled home", "header": "What is the tenant’s main reason for the household leaving their last settled home?", "hint_text": "The tenant’s ’last settled home’ is their last long-standing home. For tenants who were in temporary accommodation or sleeping rough, their last settled home is where they were living previously.", "type": "radio", "answer_options": { "0": { "value": "End of assured shorthold tenancy - no fault" }, "1": { "value": "End of assured shorthold tenancy - eviction or tenant at fault" }, "2": { "value": "End of fixed term tenancy - no fault" }, "3": { "value": "End of fixed term tenancy - eviction or tenant at fault" }, "4": { "value": "Permanently decanted from another property owned by this landlord" }, "5": { "value": "Left home country as a refugee" }, "6": { "value": "Discharged from prison" }, "7": { "value": "Discharged from long stay hospital or similar institution" }, "8": { "value": "Loss of tied accommodation" }, "9": { "value": "Asked to leave by family or friends" }, "10": { "value": "Relationship breakdown (non-violent) with partner" }, "11": { "value": "Death of household member in last settled accommodation" }, "12": { "value": "To move nearer to family, friends or school" }, "13": { "value": "To move nearer to work" }, "14": { "value": "Domestic abuse" }, "15": { "value": "Racial harassment" }, "16": { "value": "Hate crime" }, "17": { "value": "Other problems with neighbours" }, "18": { "value": "Repossession" }, "19": { "value": "Couldn’t afford fees attached to renewing the tenancy" }, "20": { "value": "Couldn’t afford increase in rent" }, "21": { "value": "Couldn’t afford rent or mortgage - welfare reforms" }, "22": { "value": "Couldn’t afford rent or mortgage - employment" }, "23": { "value": "Couldn’t afford rent or mortgage - other" }, "24": { "value": "Property unsuitable because of overcrowding" }, "25": { "value": "Property unsuitable because of ill health or disability" }, "26": { "value": "Property unsuitable because of poor condition" }, "27": { "value": "Under occupation - no incentive" }, "28": { "value": "Under occupation - offered incentive to downsize" }, "29": { "value": "To move to accommodation with support" }, "30": { "value": "To move to independent accommodation" }, "31": { "value": "Other" }, "divider": { "value": true }, "32": { "value": "Don’t know" }, "33": { "value": "Tenant prefers not to say" } }, "conditional_for": { "other_reason_for_leaving_last_settled_home": ["Other"] } }, "other_reason_for_leaving_last_settled_home": { "header": "What is the reason?", "hint_text": "", "type": "text" } }, "depends_on": [{ "renewal": "No" }] }, "reason_for_leaving_last_settled_home_renewal": { "header": "Leaving their last settled home", "description": "", "questions": { "reason": { "check_answer_label": "Reason for leaving last settled home", "header": "What is the tenant’s main reason for the household leaving their last settled home?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "End of fixed term tenancy - no fault" }, "1": { "value": "End of assured shorthold tenancy - no fault" } } } }, "depends_on": [{ "renewal": "Yes" }] }, "previous_housing_situation": { "header": "", "description": "", "questions": { "prevten": { "check_answer_label": "Where was the household immediately before this letting?", "header": "Where was the household immediately before this letting?", "hint_text": "This is where the household was the night before they moved.", "type": "radio", "answer_options": { "0": { "value": "Fixed-term local authority general needs tenancy" }, "1": { "value": "Lifetime local authority general needs tenancy" }, "2": { "value": "Fixed-term private registered provider (PRP) general needs tenancy" }, "3": { "value": "Lifetime private registered provider (PRP) general needs tenancy" }, "4": { "value": "Supported housing" }, "5": { "value": "Sheltered accommodation" }, "6": { "value": "Private sector tenancy" }, "7": { "value": "Owner occupation (private)" }, "8": { "value": "Owner occupation (low-cost home ownership)" }, "9": { "value": "Living with friends or family" }, "10": { "value": "Direct access hostel" }, "11": { "value": "Bed and breakfast" }, "12": { "value": "Prison or approved probation hostel" }, "13": { "value": "Hospital" }, "14": { "value": "Any other temporary accommodation" }, "15": { "value": "Rough sleeping" }, "16": { "value": "Tied housing or rented with job" }, "17": { "value": "Mobile home or caravan" }, "18": { "value": "Refuge" }, "19": { "value": "Children’s home or foster care" }, "20": { "value": "Residential care home" }, "21": { "value": "Home Office Asylum Support" }, "22": { "value": "Any other accommodation" } } } }, "depends_on": [{ "renewal": "No" }] }, "previous_housing_situation_renewal": { "header": "", "description": "", "questions": { "prevten": { "check_answer_label": "Where was the household immediately before this letting?", "header": "Where was the household immediately before this letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Supported housing" }, "1": { "value": "Sheltered accommodation" } } } }, "depends_on": [{ "renewal": "Yes", "needstype": "Supported housing" }] }, "underoccupation_benefitcap": { "header": "", "description": "", "questions": { "underoccupation_benefitcap": { "check_answer_label": "Removal of spare room subsidy or benefit cap", "header": "Was the reason for leaving a direct result of the removal of the spare room subsidy or benefit cap introduced from 2013?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Yes - removal of the spare room subsidy" }, "1": { "value": "Yes - benefit cap" }, "2": { "value": "Yes - both" }, "3": { "value": "No" }, "divider": { "value": true }, "4": { "value": "Don’t know" } } } }, "depends_on": [{ "renewal": "No" }] }, "homelessness": { "header": "", "description": "", "questions": { "homeless": { "check_answer_label": "Household homeless immediately before letting", "header": "Did the household experience homelessness immediately before this letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Assessed as homeless (or threatened with homelessness within 56 days) by a local authority and owed a homelessness duty" }, "1": { "value": "Other homeless - not found statutorily homeless but considered homeless by landlord" }, "2": { "value": "No" } } } }, "depends_on": [{ "renewal": "No" }] }, "previous_postcode": { "header": "", "description": "", "questions": { "previous_postcode_known": { "header": "Do you know the property’s postcode?", "hint_text": "This is also known as the household’s ’last settled home’.", "type": "radio", "answer_options": { "1": { "value": "Yes" }, "0": { "value": "No" } }, "conditional_for": { "previous_postcode": ["Yes"] }, "hidden_in_check_answers": true }, "previous_postcode": { "check_answer_label": "Postcode of household’s last settled accommodation", "header": "Postcode for the previous accommodation", "hint_text": "", "type": "text", "width": 5, "inferred_answers": { "prevloc": { "is_previous_la_inferred": true } }, "inferred_check_answers_value": { "condition": { "previous_postcode_known": "No" }, "value": "Not known" } } } }, "previous_la_known": { "header": "", "description": "", "questions": { "previous_la_known": { "check_answer_label": "Do you know the local authority of the household’s last settled accommodation?", "header": "Do you know the local authority of the household’s last settled accommodation?", "hint_text": "This is also known as the household’s ’last settled home’.", "type": "radio", "answer_options": { "1": { "value": "Yes" }, "0": { "value": "No" } } } }, "depends_on": [{ "is_previous_la_inferred": false }] }, "previous_la": { "header": "", "description": "", "questions": { "prevloc": { "check_answer_label": "Location of household’s last settled accommodation", "header": "Which local authority area did the household live in immediately before this letting?", "hint_text": "Includes temporary accommodation.", "type": "select", "answer_options": { "": "Select an option", "S12000033": "Aberdeen City", "S12000034": "Aberdeenshire", "E07000223": "Adur", "E07000026": "Allerdale", "E07000032": "Amber Valley", "S12000041": "Angus", "N09000001": "Antrim and Newtownabbey", "N09000011": "Ards and North Down", "S12000035": "Argyll and Bute", "N09000002": "Armagh City, Banbridge and Craigavon", "E07000224": "Arun", "E07000170": "Ashfield", "E07000105": "Ashford", "E07000200": "Babergh", "E09000002": "Barking and Dagenham", "E09000003": "Barnet", "E08000016": "Barnsley", "E07000027": "Barrow-in-Furness", "E07000066": "Basildon", "E07000084": "Basingstoke and Deane", "E07000171": "Bassetlaw", "E06000022": "Bath and North East Somerset", "E06000055": "Bedford", "N09000003": "Belfast", "E09000004": "Bexley", "E08000025": "Birmingham", "E07000129": "Blaby", "E06000008": "Blackburn with Darwen", "E06000009": "Blackpool", "W06000019": "Blaenau Gwent", "E07000033": "Bolsover", "E08000001": "Bolton", "E07000136": "Boston", "E06000058": "Bournemouth, Christchurch and Poole", "E06000036": "Bracknell Forest", "E08000032": "Bradford", "E07000067": "Braintree", "E07000143": "Breckland", "E09000005": "Brent", "E07000068": "Brentwood", "W06000013": "Bridgend", "E06000043": "Brighton and Hove", "E06000023": "Bristol, City of", "E07000144": "Broadland", "E09000006": "Bromley", "E07000234": "Bromsgrove", "E07000095": "Broxbourne", "E07000172": "Broxtowe", "E06000060": "Buckinghamshire", "E07000117": "Burnley", "E08000002": "Bury", "W06000018": "Caerphilly", "E08000033": "Calderdale", "E07000008": "Cambridge", "E09000007": "Camden", "E07000192": "Cannock Chase", "E07000106": "Canterbury", "W06000015": "Cardiff", "E07000028": "Carlisle", "W06000010": "Carmarthenshire", "E07000069": "Castle Point", "N09000004": "Causeway Coast and Glens", "E06000056": "Central Bedfordshire", "W06000008": "Ceredigion", "E07000130": "Charnwood", "E07000070": "Chelmsford", "E07000078": "Cheltenham", "E07000177": "Cherwell", "E06000049": "Cheshire East", "E06000050": "Cheshire West and Chester", "E07000034": "Chesterfield", "E07000225": "Chichester", "E07000118": "Chorley", "S12000036": "City of Edinburgh", "E09000001": "City of London", "S12000005": "Clackmannanshire", "E07000071": "Colchester", "W06000003": "Conwy", "E07000029": "Copeland", "E07000150": "Corby", "E06000052": "Cornwall", "E07000079": "Cotswold", "E06000047": "County Durham", "E08000026": "Coventry", "E07000163": "Craven", "E07000226": "Crawley", "E09000008": "Croydon", "E07000096": "Dacorum", "E06000005": "Darlington", "E07000107": "Dartford", "E07000151": "Daventry", "W06000004": "Denbighshire", "E06000015": "Derby", "E07000035": "Derbyshire Dales", "N09000005": "Derry City and Strabane", "E08000017": "Doncaster", "E06000059": "Dorset", "E07000108": "Dover", "E08000027": "Dudley", "S12000006": "Dumfries and Galloway", "S12000042": "Dundee City", "E09000009": "Ealing", "S12000008": "East Ayrshire", "E07000009": "East Cambridgeshire", "E07000040": "East Devon", "S12000045": "East Dunbartonshire", "E07000085": "East Hampshire", "E07000242": "East Hertfordshire", "E07000137": "East Lindsey", "S12000010": "East Lothian", "E07000152": "East Northamptonshire", "S12000011": "East Renfrewshire", "E06000011": "East Riding of Yorkshire", "E07000193": "East Staffordshire", "E07000244": "East Suffolk", "E07000061": "Eastbourne", "E07000086": "Eastleigh", "E07000030": "Eden", "E07000207": "Elmbridge", "E09000010": "Enfield", "E07000072": "Epping Forest", "E07000208": "Epsom and Ewell", "E07000036": "Erewash", "E07000041": "Exeter", "S12000014": "Falkirk", "E07000087": "Fareham", "E07000010": "Fenland", "N09000006": "Fermanagh and Omagh", "S12000047": "Fife", "W06000005": "Flintshire", "E07000112": "Folkestone and Hythe", "E07000080": "Forest of Dean", "E07000119": "Fylde", "E08000037": "Gateshead", "E07000173": "Gedling", "S12000049": "Glasgow City", "E07000081": "Gloucester", "E07000088": "Gosport", "E07000109": "Gravesham", "E07000145": "Great Yarmouth", "E09000011": "Greenwich", "E07000209": "Guildford", "W06000002": "Gwynedd", "E09000012": "Hackney", "E06000006": "Halton", "E07000164": "Hambleton", "E09000013": "Hammersmith and Fulham", "E07000131": "Harborough", "E09000014": "Haringey", "E07000073": "Harlow", "E07000165": "Harrogate", "E09000015": "Harrow", "E07000089": "Hart", "E06000001": "Hartlepool", "E07000062": "Hastings", "E07000090": "Havant", "E09000016": "Havering", "E06000019": "Herefordshire, County of", "E07000098": "Hertsmere", "E07000037": "High Peak", "S12000017": "Highland", "E09000017": "Hillingdon", "E07000132": "Hinckley and Bosworth", "E07000227": "Horsham", "E09000018": "Hounslow", "E07000011": "Huntingdonshire", "E07000120": "Hyndburn", "S12000018": "Inverclyde", "E07000202": "Ipswich", "W06000001": "Isle of Anglesey", "E06000046": "Isle of Wight", "E06000053": "Isles of Scilly", "E09000019": "Islington", "E09000020": "Kensington and Chelsea", "E07000153": "Kettering", "E07000146": "King’s Lynn and West Norfolk", "E06000010": "Kingston upon Hull, City of", "E09000021": "Kingston upon Thames", "E08000034": "Kirklees", "E08000011": "Knowsley", "E09000022": "Lambeth", "E07000121": "Lancaster", "E08000035": "Leeds", "E06000016": "Leicester", "E07000063": "Lewes", "E09000023": "Lewisham", "E07000194": "Lichfield", "E07000138": "Lincoln", "N09000007": "Lisburn and Castlereagh", "E08000012": "Liverpool", "E06000032": "Luton", "E07000110": "Maidstone", "E07000074": "Maldon", "E07000235": "Malvern Hills", "E08000003": "Manchester", "E07000174": "Mansfield", "E06000035": "Medway", "E07000133": "Melton", "E07000187": "Mendip", "W06000024": "Merthyr Tydfil", "E09000024": "Merton", "E07000042": "Mid Devon", "E07000203": "Mid Suffolk", "E07000228": "Mid Sussex", "N09000009": "Mid Ulster", "N09000008": "Mid and East Antrim", "E06000002": "Middlesbrough", "S12000019": "Midlothian", "E06000042": "Milton Keynes", "E07000210": "Mole Valley", "W06000021": "Monmouthshire", "S12000020": "Moray", "S12000013": "Na h-Eileanan Siar", "W06000012": "Neath Port Talbot", "E07000091": "New Forest", "E07000175": "Newark and Sherwood", "E08000021": "Newcastle upon Tyne", "E07000195": "Newcastle-under-Lyme", "E09000025": "Newham", "W06000022": "Newport", "N09000010": "Newry, Mourne and Down", "S12000021": "North Ayrshire", "E07000043": "North Devon", "E07000038": "North East Derbyshire", "E06000012": "North East Lincolnshire", "E07000099": "North Hertfordshire", "E07000139": "North Kesteven", "S12000050": "North Lanarkshire", "E06000013": "North Lincolnshire", "E07000147": "North Norfolk", "E06000024": "North Somerset", "E08000022": "North Tyneside", "E07000218": "North Warwickshire", "E07000134": "North West Leicestershire", "E07000154": "Northampton", "E06000057": "Northumberland", "E07000148": "Norwich", "E06000018": "Nottingham", "E07000219": "Nuneaton and Bedworth", "E07000135": "Oadby and Wigston", "E08000004": "Oldham", "S12000023": "Orkney Islands", "E07000178": "Oxford", "W06000009": "Pembrokeshire", "E07000122": "Pendle", "S12000048": "Perth and Kinross", "E06000031": "Peterborough", "E06000026": "Plymouth", "E06000044": "Portsmouth", "W06000023": "Powys", "E07000123": "Preston", "E06000038": "Reading", "E09000026": "Redbridge", "E06000003": "Redcar and Cleveland", "E07000236": "Redditch", "E07000211": "Reigate and Banstead", "S12000038": "Renfrewshire", "W06000016": "Rhondda Cynon Taf", "E07000124": "Ribble Valley", "E09000027": "Richmond upon Thames", "E07000166": "Richmondshire", "E08000005": "Rochdale", "E07000075": "Rochford", "E07000125": "Rossendale", "E07000064": "Rother", "E08000018": "Rotherham", "E07000220": "Rugby", "E07000212": "Runnymede", "E07000176": "Rushcliffe", "E07000092": "Rushmoor", "E06000017": "Rutland", "E07000167": "Ryedale", "E08000006": "Salford", "E08000028": "Sandwell", "E07000168": "Scarborough", "S12000026": "Scottish Borders", "E07000188": "Sedgemoor", "E08000014": "Sefton", "E07000169": "Selby", "E07000111": "Sevenoaks", "E08000019": "Sheffield", "S12000027": "Shetland Islands", "E06000051": "Shropshire", "E06000039": "Slough", "E08000029": "Solihull", "E07000246": "Somerset West and Taunton", "S12000028": "South Ayrshire", "E07000012": "South Cambridgeshire", "E07000039": "South Derbyshire", "E06000025": "South Gloucestershire", "E07000044": "South Hams", "E07000140": "South Holland", "E07000141": "South Kesteven", "E07000031": "South Lakeland", "S12000029": "South Lanarkshire", "E07000149": "South Norfolk", "E07000155": "South Northamptonshire", "E07000179": "South Oxfordshire", "E07000126": "South Ribble", "E07000189": "South Somerset", "E07000196": "South Staffordshire", "E08000023": "South Tyneside", "E06000045": "Southampton", "E06000033": "Southend-on-Sea", "E09000028": "Southwark", "E07000213": "Spelthorne", "E07000240": "St Albans", "E08000013": "St. Helens", "E07000197": "Stafford", "E07000198": "Staffordshire Moorlands", "E07000243": "Stevenage", "S12000030": "Stirling", "E08000007": "Stockport", "E06000004": "Stockton-on-Tees", "E06000021": "Stoke-on-Trent", "E07000221": "Stratford-on-Avon", "E07000082": "Stroud", "E08000024": "Sunderland", "E07000214": "Surrey Heath", "E09000029": "Sutton", "E07000113": "Swale", "W06000011": "Swansea", "E06000030": "Swindon", "E08000008": "Tameside", "E07000199": "Tamworth", "E07000215": "Tandridge", "E07000045": "Teignbridge", "E06000020": "Telford and Wrekin", "E07000076": "Tendring", "E07000093": "Test Valley", "E07000083": "Tewkesbury", "E07000114": "Thanet", "E07000102": "Three Rivers", "E06000034": "Thurrock", "E07000115": "Tonbridge and Malling", "E06000027": "Torbay", "W06000020": "Torfaen", "E07000046": "Torridge", "E09000030": "Tower Hamlets", "E08000009": "Trafford", "E07000116": "Tunbridge Wells", "E07000077": "Uttlesford", "W06000014": "Vale of Glamorgan", "E07000180": "Vale of White Horse", "E08000036": "Wakefield", "E08000030": "Walsall", "E09000031": "Waltham Forest", "E09000032": "Wandsworth", "E06000007": "Warrington", "E07000222": "Warwick", "E07000103": "Watford", "E07000216": "Waverley", "E07000065": "Wealden", "E07000156": "Wellingborough", "E07000241": "Welwyn Hatfield", "E06000037": "West Berkshire", "E07000047": "West Devon", "S12000039": "West Dunbartonshire", "E07000127": "West Lancashire", "E07000142": "West Lindsey", "S12000040": "West Lothian", "E07000181": "West Oxfordshire", "E07000245": "West Suffolk", "E09000033": "Westminster", "E08000010": "Wigan", "E06000054": "Wiltshire", "E07000094": "Winchester", "E06000040": "Windsor and Maidenhead", "E08000015": "Wirral", "E07000217": "Woking", "E06000041": "Wokingham", "E08000031": "Wolverhampton", "E07000237": "Worcester", "E07000229": "Worthing", "W06000006": "Wrexham", "E07000238": "Wychavon", "E07000128": "Wyre", "E07000239": "Wyre Forest", "E06000014": "York", "N92000002": "Northern Ireland", "S92000003": "Scotland", "W92000004": "Wales", "9300000XX": "Outside UK" } } }, "depends_on": [ { "previous_la_known": "Yes", "is_previous_la_inferred": false } ] }, "reasonable_preference": { "header": "", "description": "", "questions": { "reasonpref": { "check_answer_label": "Household given reasonable preference", "header": "Was the household given ‘reasonable preference’ by the local authority?", "hint_text": "Households may be given ‘reasonable preference’ for social housing, also known as ‘priority need’, by the local authority.", "type": "radio", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" }, "divider": { "value": true }, "2": { "value": "Don’t know" } } } } }, "reasonable_preference_reason": { "header": "Reason for reasonable preference being given", "description": "", "questions": { "reasonable_preference_reason": { "check_answer_label": "Reason for reasonable preference", "header": "Why was the household given ‘reasonable preference’?", "hint_text": "", "type": "checkbox", "answer_options": { "rp_homeless": { "value": "They were homeless or about to lose their home (within 56 days)" }, "rp_insan_unsat": { "value": "They were living in unsanitary, overcrowded or unsatisfactory housing" }, "rp_medwel": { "value": "They needed to move due to medical and welfare reasons (including disability)" }, "rp_hardship": { "value": "They needed to move to avoid hardship to themselves or others" }, "divider": { "value": true }, "rp_dontknow": { "value": "Don’t know" } } } }, "depends_on": [ { "reasonpref": "Yes" } ] }, "lettings_policy": { "header": "", "description": "", "questions": { "letting_allocation": { "check_answer_label": "Allocation system", "header": "How was this letting allocated?", "hint_text": "Select all that apply.", "type": "checkbox", "answer_options": { "cbl": { "value": "Choice-based lettings (CBL)" }, "chr": { "value": "Common housing register (CHR)" }, "cap": { "value": "Common Allocation Policy (CAP)" }, "divider": { "value": true }, "letting_allocation_unknown": { "value": "None of these allocation systems" } } } } }, "referral": { "header": "", "description": "", "questions": { "referral": { "check_answer_label": "Source of referral for letting", "header": "What was the source of referral for this letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Internal transfer" }, "1": { "value": "Tenant applied directly (no referral or nomination)" }, "2": { "value": "Re-located through official housing mobility scheme" }, "3": { "value": "Other social landlord" }, "4": { "value": "Community learning disability team" }, "5": { "value": "Community mental health team" }, "6": { "value": "Health service" }, "7": { "value": "Police, probation or prison" }, "8": { "value": "Youth offending team" }, "9": { "value": "Voluntary agency" }, "10": { "value": "Other" } } } }, "depends_on": [ { "managing_organisation.provider_type": "LA", "needstype": "General needs", "renewal": "No" } ] }, "referral_prp": { "header": "", "description": "", "questions": { "referral": { "check_answer_label": "Source of referral for letting", "header": "What was the source of referral for this letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Internal transfer" }, "1": { "value": "Tenant applied directly (no referral or nomination)" }, "2": { "value": "Private registered provider (PRP) lettings only - nominated by a local housing authority" }, "3": { "value": "Re-located through official housing mobility scheme" }, "4": { "value": "Other social landlord" }, "5": { "value": "Community learning disability team" }, "6": { "value": "Community mental health team" }, "7": { "value": "Health service" }, "8": { "value": "Police, probation or prison" }, "9": { "value": "Youth offending team" }, "10": { "value": "Voluntary agency" }, "11": { "value": "Other" } } } }, "depends_on": [ { "managing_organisation.provider_type": "PRP", "needstype": "General needs", "renewal": "No" } ] }, "referral_supported_housing": { "header": "", "description": "", "questions": { "referral": { "check_answer_label": "Source of referral for letting", "header": "What was the source of referral for this letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Internal transfer" }, "1": { "value": "Tenant applied directly (no referral or nomination)" }, "2": { "value": "Private registered provider (PRP) supported lettings only - referred by local authority housing department" }, "3": { "value": "Re-located through official housing mobility scheme" }, "4": { "value": "Other social landlord" }, "5": { "value": "Community learning disability team" }, "6": { "value": "Community mental health team" }, "7": { "value": "Health service" }, "8": { "value": "Police, probation or prison" }, "9": { "value": "Youth offending team" }, "10": { "value": "Voluntary agency" }, "11": { "value": "Other" } } } }, "depends_on": [ { "managing_organisation.provider_type": "LA", "needstype": "Supported housing", "renewal": "No" } ] }, "referral_supported_housing_prp": { "header": "", "description": "", "questions": { "referral": { "check_answer_label": "Source of referral for letting", "header": "What was the source of referral for this letting?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Internal transfer" }, "1": { "value": "Tenant applied directly (no referral or nomination)" }, "2": { "value": "Private registered provider (PRP) lettings only - nominated by a local housing authority" }, "3": { "value": "Private registered provider (PRP) supported lettings only - referred by local authority housing department" }, "4": { "value": "Re-located through official housing mobility scheme" }, "5": { "value": "Other social landlord" }, "6": { "value": "Community learning disability team" }, "7": { "value": "Community mental health team" }, "8": { "value": "Health service" }, "9": { "value": "Police, probation or prison" }, "10": { "value": "Youth offending team" }, "11": { "value": "Voluntary agency" }, "12": { "value": "Other" } } } }, "depends_on": [ { "managing_organisation.provider_type": "PRP", "needstype": "Supported housing", "renewal": "No" } ] } } }, "household_needs": { "label": "Household needs", "depends_on": [ { "setup": "completed" } ], "pages": { "armed_forces": { "header": "Experience of the UK Armed Forces", "description": "", "questions": { "armedforces": { "header": "Is anyone in the household...", "hint_text": "This excludes national service.", "type": "radio", "check_answer_label": "Armed Forces", "answer_options": { "0": { "value": "A current or former regular in the UK Armed Forces (excluding National Service)" }, "1": { "value": "A current or former reserve in the UK Armed Forces (excluding National Service)" }, "2": { "value": "A spouse / civil partner of a UK Armed Forces member who has separated or been bereaved within the last 2 years" }, "3": { "value": "No" }, "4": { "value": "Tenant prefers not to say" } } } } }, "armed_forces_member": { "header": "Experience of the UK Armed Forces", "description": "", "depends_on": [ { "armedforces": "A current or former regular in the UK Armed Forces (excluding National Service)" } ], "questions": { "leftreg": { "header": "Are they still serving?", "hint_text": "", "type": "radio", "check_answer_label": "When did they leave the Armed Forces?", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No - they left up to 5 years ago" }, "2": { "value": "No - they left more than 5 years ago" }, "3": { "value": "Prefer not to say" }, "divider": { "value": true } } }, "reservist": { "header": "Were they seriously injured or ill as a result of their service?", "hint_text": "", "type": "radio", "check_answer_label": "Has anyone in the household been seriously injured or ill as a result of their service in the armed forces?", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" }, "2": { "value": "Prefer not to say" }, "divider": { "value": true } } } } }, "medical_conditions": { "header": "", "description": "", "questions": { "illness": { "header": "Does anyone in the household have any of the following that they expect to last for 12 months or more:", "hint_text": "", "type": "radio", "check_answer_label": "Physical, mental health or illness in the household", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" }, "2": { "value": "Prefer not to say" }, "divider": { "value": true } } } } }, "pregnancy": { "header": "", "description": "", "questions": { "preg_occ": { "header": "Is anyone in the household pregnant?", "hint_text": "", "type": "radio", "check_answer_label": "Pregnancy in the household", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" }, "2": { "value": "Prefer not to say" }, "divider": { "value": true } } } } }, "accessibility_requirements": { "header": "", "description": "", "questions": { "accessibility_requirements": { "header": "Are any of these affected by their condition or illness?", "hint_text": "Select all that apply.", "type": "checkbox", "check_answer_label": "Disability requirements", "answer_options": { "housingneeds_a": { "value": "Fully wheelchair accessible housing" }, "housingneeds_b": { "value": "Wheelchair access to essential rooms" }, "housingneeds_c": { "value": "Level access housing" }, "housingneeds_f": { "value": "Other disability requirements" }, "housingneeds_g": { "value": "No disability requirements" }, "divider": { "value": true }, "housingneeds_h": { "value": "Don’t know" }, "accessibility_requirements_prefer_not_to_say": { "value": "Prefer not to say" } } } } }, "condition_effects": { "header": "", "description": "", "questions": { "condition_effects": { "header": "Are any of these affected by their condition or illness?", "hint_text": "Select all that apply.", "type": "checkbox", "check_answer_label": "Conditions or illnesses", "answer_options": { "illness_type_1": { "value": "Vision", "hint": "For example, blindness or partial sight." }, "illness_type_2": { "value": "Hearing", "hint": "For example, deafness or partial hearing." }, "illness_type_3": { "value": "Mobility", "hint": "For example, walking short distances or climbing stairs." }, "illness_type_4": { "value": "Dexterity", "hint": "For example, lifting and carrying objects or using a keyboard." }, "illness_type_8": { "value": "Stamina or breathing or fatigue" }, "illness_type_5": { "value": "Learning or understanding or concentrating" }, "illness_type_6": { "value": "Memory" }, "illness_type_7": { "value": "Mental health", "hint": "For example, depression, anxiety, schizophrenia or bipolar." }, "illness_type_9": { "value": "Socially or behaviourally", "hint": "For example, associated with autism spectrum disorder (ASD) which includes Asperger’s or attention deficit hyperactivity disorder (ADHD)." }, "illness_type_10": { "value": "Other" } } } } } } } } }, "tenancy_and_property": { "label": "Tenancy and property information", "subsections": { "tenancy_information": { "label": "Tenancy information", "depends_on": [ { "setup": "completed" } ], "pages": { "starter_tenancy": { "header": "", "description": "", "questions": { "startertenancy": { "check_answer_label": "Is this a starter or introductory tenancy?", "header": "Is this a starter tenancy?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" } } } } }, "tenancy_type": { "header": "", "description": "", "questions": { "tenancy": { "check_answer_label": "Type of main tenancy", "header": "What is the type of tenancy?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Assured" }, "1": { "value": "Assured Shorthold" }, "2": { "value": "Licence agreement (almshouses only)" }, "3": { "value": "Secure (including flexible)" }, "4": { "value": "Other" } }, "conditional_for": { "tenancyother": ["Other"] } }, "tenancyother": { "header": "Please state the tenancy type", "hint_text": "", "type": "text" } }, "depends_on": [ { "startertenancy": "No" } ] }, "tenancy_type_starter_text": { "header": "", "description": "", "questions": { "tenancy": { "check_answer_label": "Type of main tenancy after the starter period has ended?", "header": "What is the type of tenancy after the starter period has ended?", "hint_text": "This is also known as an ‘introductory period’.", "type": "radio", "answer_options": { "0": { "value": "Assured" }, "1": { "value": "Assured Shorthold" }, "2": { "value": "Licence agreement (almshouses only)" }, "3": { "value": "Secure (including flexible)" }, "4": { "value": "Other" } }, "conditional_for": { "tenancyother": ["Other"] } }, "tenancyother": { "header": "Please state the tenancy type", "hint_text": "", "type": "text" } }, "depends_on": [ { "startertenancy": "Yes" } ] }, "fixed_term_tenancy": { "header": "", "description": "", "questions": { "tenancylength": { "check_answer_label": "Length of fixed-term tenancy", "header": "What is the length of the fixed-term tenancy to the nearest year?", "hint_text": "", "type": "numeric", "min": 0, "max": 150, "step": 1 } }, "depends_on": [ { "tenancy": "Secure (including flexible)" }, { "tenancy": "Assured Shorthold" } ] }, "letting_in_sheltered_accommodation": { "header": "", "description": "", "questions": { "letting_in_sheltered_accommodation": { "check_answer_label": "Is this letting in sheltered accommodation?", "header": "Is this letting in sheltered accommodation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Yes - sheltered housing" }, "1": { "value": "Yes - extra care housing" }, "2": { "value": "No" }, "3": { "value": "Don’t know" }, "divider": { "value": true } } } }, "depends_on": [ { "needstype": "Supported housing" } ] } } }, "property_information": { "label": "Property information", "depends_on": [ { "setup": "completed" } ], "pages": { "property_postcode": { "header": "", "description": "", "questions": { "postcode_known": { "check_answer_label": "Do you know the property postcode?", "header": "Do you know the property’s postcode?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } }, "conditional_for": { "property_postcode": ["Yes"] }, "hidden_in_check_answers": true }, "property_postcode": { "check_answer_label": "Postcode", "header": "What is the property’s postcode?", "hint_text": "", "type": "text", "width": 5, "inferred_answers": { "la": { "is_la_inferred": true } }, "inferred_check_answers_value": { "condition": { "postcode_known": "No" }, "value": "Not known" } } } }, "do_you_know_the_local_authority": { "header": "", "description": "", "questions": { "la_known": { "check_answer_label": "Do you know what local authority the property is located in?", "header": "Do you know what local authority the property is located in?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } } } }, "depends_on": [ { "is_la_inferred": false } ] }, "select_local_authority": { "header": "", "description": "", "questions": { "la": { "check_answer_label": "Local Authority", "header": "Select a local authority", "hint_text": "", "type": "select", "answer_options": { "": "Select an option", "E07000223": "Adur", "E07000026": "Allerdale", "E07000032": "Amber Valley", "E07000224": "Arun", "E07000170": "Ashfield", "E07000105": "Ashford", "E07000200": "Babergh", "E09000002": "Barking and Dagenham", "E09000003": "Barnet", "E08000016": "Barnsley", "E07000027": "Barrow-in-Furness", "E07000066": "Basildon", "E07000084": "Basingstoke and Deane", "E07000171": "Bassetlaw", "E06000022": "Bath and North East Somerset", "E06000055": "Bedford", "E09000004": "Bexley", "E08000025": "Birmingham", "E07000129": "Blaby", "E06000008": "Blackburn with Darwen", "E06000009": "Blackpool", "E07000033": "Bolsover", "E08000001": "Bolton", "E07000136": "Boston", "E06000058": "Bournemouth, Christchurch and Poole", "E06000036": "Bracknell Forest", "E08000032": "Bradford", "E07000067": "Braintree", "E07000143": "Breckland", "E09000005": "Brent", "E07000068": "Brentwood", "E06000043": "Brighton and Hove", "E06000023": "Bristol, City of", "E07000144": "Broadland", "E09000006": "Bromley", "E07000234": "Bromsgrove", "E07000095": "Broxbourne", "E07000172": "Broxtowe", "E06000060": "Buckinghamshire", "E07000117": "Burnley", "E08000002": "Bury", "E08000033": "Calderdale", "E07000008": "Cambridge", "E09000007": "Camden", "E07000192": "Cannock Chase", "E07000106": "Canterbury", "E07000028": "Carlisle", "E07000069": "Castle Point", "E06000056": "Central Bedfordshire", "E07000130": "Charnwood", "E07000070": "Chelmsford", "E07000078": "Cheltenham", "E07000177": "Cherwell", "E06000049": "Cheshire East", "E06000050": "Cheshire West and Chester", "E07000034": "Chesterfield", "E07000225": "Chichester", "E07000118": "Chorley", "E09000001": "City of London", "E07000071": "Colchester", "E07000029": "Copeland", "E07000150": "Corby", "E06000052": "Cornwall", "E07000079": "Cotswold", "E06000047": "County Durham", "E08000026": "Coventry", "E07000163": "Craven", "E07000226": "Crawley", "E09000008": "Croydon", "E07000096": "Dacorum", "E06000005": "Darlington", "E07000107": "Dartford", "E07000151": "Daventry", "E06000015": "Derby", "E07000035": "Derbyshire Dales", "E08000017": "Doncaster", "E06000059": "Dorset", "E07000108": "Dover", "E08000027": "Dudley", "E09000009": "Ealing", "E07000009": "East Cambridgeshire", "E07000040": "East Devon", "E07000085": "East Hampshire", "E07000242": "East Hertfordshire", "E07000137": "East Lindsey", "E07000152": "East Northamptonshire", "E06000011": "East Riding of Yorkshire", "E07000193": "East Staffordshire", "E07000244": "East Suffolk", "E07000061": "Eastbourne", "E07000086": "Eastleigh", "E07000030": "Eden", "E07000207": "Elmbridge", "E09000010": "Enfield", "E07000072": "Epping Forest", "E07000208": "Epsom and Ewell", "E07000036": "Erewash", "E07000041": "Exeter", "E07000087": "Fareham", "E07000010": "Fenland", "E07000112": "Folkestone and Hythe", "E07000080": "Forest of Dean", "E07000119": "Fylde", "E08000037": "Gateshead", "E07000173": "Gedling", "E07000081": "Gloucester", "E07000088": "Gosport", "E07000109": "Gravesham", "E07000145": "Great Yarmouth", "E09000011": "Greenwich", "E07000209": "Guildford", "W06000002": "Gwynedd", "E09000012": "Hackney", "E06000006": "Halton", "E07000164": "Hambleton", "E09000013": "Hammersmith and Fulham", "E07000131": "Harborough", "E09000014": "Haringey", "E07000073": "Harlow", "E07000165": "Harrogate", "E09000015": "Harrow", "E07000089": "Hart", "E06000001": "Hartlepool", "E07000062": "Hastings", "E07000090": "Havant", "E09000016": "Havering", "E06000019": "Herefordshire, County of", "E07000098": "Hertsmere", "E07000037": "High Peak", "S12000017": "Highland", "E09000017": "Hillingdon", "E07000132": "Hinckley and Bosworth", "E07000227": "Horsham", "E09000018": "Hounslow", "E07000011": "Huntingdonshire", "E07000120": "Hyndburn", "E07000202": "Ipswich", "E06000046": "Isle of Wight", "E06000053": "Isles of Scilly", "E09000019": "Islington", "E09000020": "Kensington and Chelsea", "E07000153": "Kettering", "E07000146": "King’s Lynn and West Norfolk", "E06000010": "Kingston upon Hull, City of", "E09000021": "Kingston upon Thames", "E08000034": "Kirklees", "E08000011": "Knowsley", "E09000022": "Lambeth", "E07000121": "Lancaster", "E08000035": "Leeds", "E06000016": "Leicester", "E07000063": "Lewes", "E09000023": "Lewisham", "E07000194": "Lichfield", "E07000138": "Lincoln", "E08000012": "Liverpool", "E06000032": "Luton", "E07000110": "Maidstone", "E07000074": "Maldon", "E07000235": "Malvern Hills", "E08000003": "Manchester", "E07000174": "Mansfield", "E06000035": "Medway", "E07000133": "Melton", "E07000187": "Mendip", "E09000024": "Merton", "E07000042": "Mid Devon", "E07000203": "Mid Suffolk", "E07000228": "Mid Sussex", "E06000002": "Middlesbrough", "E06000042": "Milton Keynes", "E07000210": "Mole Valley", "E07000091": "New Forest", "E07000175": "Newark and Sherwood", "E08000021": "Newcastle upon Tyne", "E07000195": "Newcastle-under-Lyme", "E09000025": "Newham", "E07000043": "North Devon", "E07000038": "North East Derbyshire", "E06000012": "North East Lincolnshire", "E07000099": "North Hertfordshire", "E07000139": "North Kesteven", "E06000013": "North Lincolnshire", "E07000147": "North Norfolk", "E06000024": "North Somerset", "E08000022": "North Tyneside", "E07000218": "North Warwickshire", "E07000134": "North West Leicestershire", "E07000154": "Northampton", "E06000057": "Northumberland", "E07000148": "Norwich", "E06000018": "Nottingham", "E07000219": "Nuneaton and Bedworth", "E07000135": "Oadby and Wigston", "E08000004": "Oldham", "E07000178": "Oxford", "E07000122": "Pendle", "E06000031": "Peterborough", "E06000026": "Plymouth", "E06000044": "Portsmouth", "E07000123": "Preston", "E06000038": "Reading", "E09000026": "Redbridge", "E06000003": "Redcar and Cleveland", "E07000236": "Redditch", "E07000211": "Reigate and Banstead", "E07000124": "Ribble Valley", "E09000027": "Richmond upon Thames", "E07000166": "Richmondshire", "E08000005": "Rochdale", "E07000075": "Rochford", "E07000125": "Rossendale", "E07000064": "Rother", "E08000018": "Rotherham", "E07000220": "Rugby", "E07000212": "Runnymede", "E07000176": "Rushcliffe", "E07000092": "Rushmoor", "E06000017": "Rutland", "E07000167": "Ryedale", "E08000006": "Salford", "E08000028": "Sandwell", "E07000168": "Scarborough", "E07000188": "Sedgemoor", "E08000014": "Sefton", "E07000169": "Selby", "E07000111": "Sevenoaks", "E08000019": "Sheffield", "E06000051": "Shropshire", "E06000039": "Slough", "E08000029": "Solihull", "E07000246": "Somerset West and Taunton", "E07000012": "South Cambridgeshire", "E07000039": "South Derbyshire", "E06000025": "South Gloucestershire", "E07000044": "South Hams", "E07000140": "South Holland", "E07000141": "South Kesteven", "E07000031": "South Lakeland", "E07000149": "South Norfolk", "E07000155": "South Northamptonshire", "E07000179": "South Oxfordshire", "E07000126": "South Ribble", "E07000189": "South Somerset", "E07000196": "South Staffordshire", "E08000023": "South Tyneside", "E06000045": "Southampton", "E06000033": "Southend-on-Sea", "E09000028": "Southwark", "E07000213": "Spelthorne", "E07000240": "St Albans", "E08000013": "St. Helens", "E07000197": "Stafford", "E07000198": "Staffordshire Moorlands", "E07000243": "Stevenage", "E08000007": "Stockport", "E06000004": "Stockton-on-Tees", "E06000021": "Stoke-on-Trent", "E07000221": "Stratford-on-Avon", "E07000082": "Stroud", "E08000024": "Sunderland", "E07000214": "Surrey Heath", "E09000029": "Sutton", "E07000113": "Swale", "E06000030": "Swindon", "E08000008": "Tameside", "E07000199": "Tamworth", "E07000215": "Tandridge", "E07000045": "Teignbridge", "E06000020": "Telford and Wrekin", "E07000076": "Tendring", "E07000093": "Test Valley", "E07000083": "Tewkesbury", "E07000114": "Thanet", "E07000102": "Three Rivers", "E06000034": "Thurrock", "E07000115": "Tonbridge and Malling", "E06000027": "Torbay", "E07000046": "Torridge", "E09000030": "Tower Hamlets", "E08000009": "Trafford", "E07000116": "Tunbridge Wells", "E07000077": "Uttlesford", "E07000180": "Vale of White Horse", "E08000036": "Wakefield", "E08000030": "Walsall", "E09000031": "Waltham Forest", "E09000032": "Wandsworth", "E06000007": "Warrington", "E07000222": "Warwick", "E07000103": "Watford", "E07000216": "Waverley", "E07000065": "Wealden", "E07000156": "Wellingborough", "E07000241": "Welwyn Hatfield", "E06000037": "West Berkshire", "E07000047": "West Devon", "E07000127": "West Lancashire", "E07000142": "West Lindsey", "E07000181": "West Oxfordshire", "E07000245": "West Suffolk", "E09000033": "Westminster", "E08000010": "Wigan", "E06000054": "Wiltshire", "E07000094": "Winchester", "E06000040": "Windsor and Maidenhead", "E08000015": "Wirral", "E07000217": "Woking", "E06000041": "Wokingham", "E08000031": "Wolverhampton", "E07000237": "Worcester", "E07000229": "Worthing", "E07000238": "Wychavon", "E07000128": "Wyre", "E07000239": "Wyre Forest", "E06000014": "York" } } }, "depends_on": [ { "la_known": "Yes", "is_la_inferred": false } ] }, "first_time_property_let_as_social_housing": { "header": "", "description": "", "questions": { "first_time_property_let_as_social_housing": { "check_answer_label": "First time being let as social-housing?", "header": "Is this the first time the property has been let as social housing?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No", "hint": "This is a re-let of existing social housing." }, "1": { "value": "Yes", "hint": "This is a new let." } } } }, "depends_on": [ { "renewal": "No" } ] }, "unitletas": { "header": "", "description": "", "questions": { "unitletas": { "check_answer_label": "Most recent let type", "header": "What type was the property most recently let as?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Social rent basis" }, "1": { "value": "Affordable rent basis" }, "2": { "value": "Intermediate rent basis" }, "3": { "value": "Don’t know" }, "divider": { "value": true } } } }, "depends_on": [ { "first_time_property_let_as_social_housing": "No", "renewal": "No" } ] }, "property_vacancy_reason_not_first_let": { "header": "", "description": "", "questions": { "rsnvac": { "check_answer_label": "Vacancy reason", "header": "What is the reason for the property being vacant?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Renewal of fixed-term tenancy" }, "1": { "value": "Internal transfer", "hint": "Excluding renewals of a fixed-term tenancy" }, "2": { "value": "Relet to tenant who occupied same property as temporary accommodation" }, "3": { "value": "Tenant involved in a succession downsize" }, "4": { "value": "Tenant moved to private sector or other accommodation" }, "5": { "value": "Tenant moved to other social housing provider" }, "6": { "value": "Tenant moved to care home" }, "7": { "value": "Tenant abandoned property" }, "8": { "value": "Tenant evicted due to arrears" }, "9": { "value": "Tenant evicted due to ASB or other reason" }, "10": { "value": "Previous tenant passed away (no succession)" } } } }, "depends_on": [ { "first_time_property_let_as_social_housing": "No", "renewal": "No" } ] }, "property_vacancy_reason_first_let": { "header": "", "description": "", "questions": { "rsnvac": { "check_answer_label": "Vacancy reason", "header": "What is the reason for the property being vacant?", "hint_text": "", "type": "radio", "answer_options": { "11": { "value": "First let of new-build property" }, "12": { "value": "First let of conversion, rehabilitation or acquired property" }, "13": { "value": "First let of leased property" } } } }, "depends_on": [ { "first_time_property_let_as_social_housing": "Yes", "renewal": "No" } ] }, "property_number_of_times_relet_not_social_let": { "header": "", "description": "", "questions": { "offered": { "check_answer_label": "Times previously offered since becoming available", "header": "Since becoming available for re-let, how many times has the property been previously offered?", "hint_text": "If the property is being offered for let for the first time, enter 0.", "type": "numeric", "min": 0, "max": 150, "step": 1, "width": 2 } }, "depends_on": [ { "first_time_property_let_as_social_housing": "No", "renewal": "No" } ] }, "property_number_of_times_relet_social_let": { "header": "", "description": "", "questions": { "offered": { "check_answer_label": "Times previously offered since becoming available", "header": "Since becoming available, how many times has the property been previously offered?", "hint_text": "If the property is being let for the first time, enter 0.", "type": "numeric", "min": 0, "max": 150, "step": 1, "width": 2 } }, "depends_on": [ { "first_time_property_let_as_social_housing": "Yes", "renewal": "No" } ] }, "property_unit_type": { "header": "", "description": "", "questions": { "unittype_gn": { "check_answer_label": "Type of unit", "header": "What type of unit is the property?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Flat or maisonette" }, "1": { "value": "Bedsit" }, "2": { "value": "House" }, "3": { "value": "Bungalow" }, "4": { "value": "Shared flat or maisonette" }, "5": { "value": "Shared house" }, "6": { "value": "Shared bungalow" }, "7": { "value": "Other" } } } } }, "property_building_type": { "header": "", "description": "", "questions": { "builtype": { "check_answer_label": "Type of building", "header": "What type of building is the property?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Purpose built" }, "1": { "value": "Converted from previous residential or non-residential property" } } } } }, "property_wheelchair_accessible": { "header": "", "description": "", "questions": { "wchair": { "check_answer_label": "Property built or adapted to wheelchair-user standards", "header": "Is the property built or adapted to wheelchair-user standards?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" } } } } }, "property_number_of_bedrooms": { "header": "", "description": "", "questions": { "beds": { "check_answer_label": "Number of bedrooms", "header": "How many bedrooms does the property have?", "hint_text": "If shared accommodation, enter the number of bedrooms occupied by this household. A bedsit has 1 bedroom.", "type": "numeric", "min": 0, "max": 150, "step": 1, "width": 2 } }, "depends_on": [ { "needstype": "General needs" } ] }, "void_or_renewal_date": { "header": "", "description": "", "questions": { "property_void_date": { "check_answer_label": "Void or renewal date", "header": "What is the void or renewal date?", "hint_text": "For example, 27 3 2021.", "type": "date" } }, "depends_on": [ { "rsnvac": "First let of new-build property", "renewal": "No" } ] }, "new_build_handover_date": { "header": "", "description": "", "questions": { "property_void_date": { "check_answer_label": "New-build handover date", "header": "What is the new-build handover date?", "hint_text": "", "type": "date" } }, "depends_on": [ { "renewal": "No", "rsnvac": [ "First let of conversion, rehabilitation or acquired property?", "First let of leased property" ] } ] }, "property_major_repairs": { "header": "", "description": "", "questions": { "majorrepairs": { "check_answer_label": "Major repairs carried out during void period", "header": "Were any major repairs carried out during the void period?", "hint_text": "Major repairs are works that could not be reasonably carried out with a tenant living at the property. For example, structural repairs.", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } }, "conditional_for": { "mrcdate": ["Yes"] } }, "mrcdate": { "check_answer_label": "Completion date of repairs", "header": "When were the repairs completed?", "hint_text": "For example, 27 3 2021.", "type": "date" } }, "depends_on": [ { "rsnvac": "First let of new-build property", "renewal": "No" } ] } } } } }, "rent_and_charges": { "label": "Finances", "subsections": { "income_and_benefits": { "label": "Income, benefits and outgoings", "depends_on": [ { "setup": "completed" } ], "pages": { "net_income_known": { "header": "", "description": "", "questions": { "net_income_known": { "check_answer_label": "Do you know the household’s combined income?", "header": "Do you know the household’s combined income?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" }, "divider_a": { "value": true }, "2": { "value": "Tenant prefers not to say" } } } } }, "net_income": { "depends_on": [{ "net_income_known": "Yes" }], "header": "Household’s combined income after tax", "description": "", "questions": { "earnings": { "check_answer_label": "Total household income", "header": "How much income does the household have in total?", "guidance_partial": "what_counts_as_income", "hint_text": "", "type": "numeric", "min": 0, "step": "1", "width": 5, "prefix": "£", "suffix": [ { "label": "every week", "depends_on": { "incfreq": "Weekly" } }, { "label": "every month", "depends_on": { "incfreq": "Monthly" } }, { "label": "every month", "depends_on": { "incfreq": "Yearly" } } ] }, "incfreq": { "check_answer_label": "How often does the household receive this amount?", "header": "How often does the household receive this amount?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Weekly" }, "1": { "value": "Monthly" }, "2": { "value": "Yearly" } }, "hidden_in_check_answers": true } }, "soft_validations": { "override_net_income_validation": { "check_answer_label": "Net income confirmed?", "type": "validation_override", "answer_options": { "override_net_income_validation": "Yes" } } } }, "housing_benefit": { "header": "", "description": "", "questions": { "hb": { "check_answer_label": "Housing-related benefits received", "header": "Is the household likely to be receiving any of these housing-related benefits?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Housing benefit" }, "1": { "value": "Universal Credit with housing element (excluding housing benefit)" }, "2": { "value": "Housing benefit and Universal Credit (without housing element)" }, "3": { "value": "Universal Credit (without housing element)" }, "4": { "value": "None" }, "5": { "value": "Don’t know" }, "6": { "value": "Tenant prefers not to say" }, "divider": { "value": true } } } } }, "net_income_uc_proportion": { "header": "", "description": "", "questions": { "benefits": { "check_answer_label": "Household income from Universal Credit, state pension or benefits", "header": "How much of the household’s income is from Universal Credit, state pensions or benefits?", "hint_text": "This excludes child and housing benefit, council tax support and tax credits.", "type": "radio", "answer_options": { "0": { "value": "All" }, "1": { "value": "Some" }, "2": { "value": "None" }, "3": { "value": "Don’t know" }, "divider": { "value": true } } } } }, "rent_or_other_charges": { "header": "", "description": "", "questions": { "household_charge": { "check_answer_label": "Does the household pay rent or charges?", "header": "Does the household pay rent or other charges for the accommodation?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" } } } }, "depends_on": [ { "needstype": "Supported housing" } ] }, "rent_period": { "header": "", "description": "", "questions": { "period": { "check_answer_label": "Frequency of household rent and charges", "header": "How often does the household pay rent and other charges?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "Every 2 weeks" }, "1": { "value": "Every 4 weeks" }, "2": { "value": "Every calendar month" }, "3": { "value": "Weekly for 50 weeks" }, "4": { "value": "Weekly for 49 weeks" }, "5": { "value": "Weekly for 48 weeks" }, "6": { "value": "Weekly for 47 weeks" }, "7": { "value": "Weekly for 46 weeks" }, "8": { "value": "Weekly for 52 weeks" } } } }, "depends_on": [ { "household_charge": "Yes" }, { "household_charge": null } ] }, "care_home_weekly": { "header": "", "description": "", "questions": { "is_carehome": { "check_answer_label": "Care home accommodation", "header": "Is this accommodation a care home?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } }, "conditional_for": { "chcharge": ["Yes"] } }, "chcharge": { "check_answer_label": "Care home charges", "header": "How much does the household pay every week?", "hint_text": "", "type": "numeric", "width": 5, "prefix": "£", "suffix": " every week" } }, "depends_on": [ { "period": "Weekly for 52 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Weekly for 52 weeks", "needstype": "Supported housing", "household_charge": null }, { "period": "Weekly for 50 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Weekly for 50 weeks", "needstype": "Supported housing", "household_charge": null }, { "period": "Weekly for 49 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Weekly for 49 weeks", "needstype": "Supported housing", "household_charge": null }, { "period": "Weekly for 48 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Weekly for 48 weeks", "needstype": "Supported housing", "household_charge": null }, { "period": "Weekly for 47 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Weekly for 47 weeks", "needstype": "Supported housing", "household_charge": null }, { "period": "Weekly for 46 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Weekly for 46 weeks", "needstype": "Supported housing", "household_charge": null } ] }, "care_home_bi_weekly": { "header": "", "description": "", "questions": { "is_carehome": { "check_answer_label": "Care home accommodation", "header": "Is this accommodation a care home?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } }, "conditional_for": { "chcharge": ["Yes"] } }, "chcharge": { "check_answer_label": "Care home charges", "header": "How much does the household pay every 2 weeks?", "hint_text": "", "type": "numeric", "width": 5, "prefix": "£", "suffix": " every 2 weeks" } }, "depends_on": [ { "period": "Every 2 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Every 2 weeks", "needstype": "Supported housing", "household_charge": null } ] }, "care_home_4_weekly": { "header": "", "description": "", "questions": { "is_carehome": { "check_answer_label": "Care home accommodation", "header": "Is this accommodation a care home?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } }, "conditional_for": { "chcharge": ["Yes"] } }, "chcharge": { "check_answer_label": "Care home charges", "header": "How much does the household pay every 4 weeks?", "hint_text": "", "type": "numeric", "width": 5, "prefix": "£", "suffix": " every 4 weeks" } }, "depends_on": [ { "period": "Every 4 weeks", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Every 4 weeks", "needstype": "Supported housing", "household_charge": null } ] }, "care_home_monthly": { "header": "", "description": "", "questions": { "is_carehome": { "check_answer_label": "Care home accommodation", "header": "Is this accommodation a care home?", "hint_text": "", "type": "radio", "answer_options": { "0": { "value": "No" }, "1": { "value": "Yes" } }, "conditional_for": { "chcharge": ["Yes"] } }, "chcharge": { "check_answer_label": "Care home charges", "header": "How much does the household pay every month?", "hint_text": "", "type": "numeric", "width": 5, "prefix": "£", "suffix": " every month" } }, "depends_on": [ { "period": "Every calendar month", "needstype": "Supported housing", "household_charge": "Yes" }, { "period": "Every calendar month", "needstype": "Supported housing", "household_charge": null } ] }, "rent_weekly": { "header": "Household rent and charges", "description": "", "questions": { "brent": { "check_answer_label": "Basic rent", "header": "What is the basic rent?", "hint_text": "This is the amount paid before any charges are added for services (for example, hot water or cleaning). Households may receive housing benefit or Universal Credit towards basic rent.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every week", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "scharge": { "check_answer_label": "Service charge", "header": "What is the service charge?", "hint_text": "For example, for cleaning. Households may receive housing benefit or Universal Credit towards the service charge.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every week", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "pscharge": { "check_answer_label": "Personal service charge", "header": "What is the personal service charge?", "hint_text": "For example, for heating or hot water. This doesn’t include housing benefit or Universal Credit.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every week", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "supcharg": { "check_answer_label": "Support charge", "header": "What is the support charge?", "hint_text": "Any charges made to fund support services included in tenancy agreement.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every week", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "tcharge": { "check_answer_label": "Household rent and charges", "header": "Total charge", "hint_text": "This is the total for rent and all charges.", "type": "numeric_output", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every week", "readonly": true, "requires_js": true, "fields_added": ["brent", "scharge", "pscharge", "supcharg"] } }, "depends_on": [ { "period": "Weekly for 52 weeks", "household_charge": "Yes", "is_carehome": "No" }, { "period": "Weekly for 52 weeks", "household_charge": null, "is_carehome": "No" }, { "period": "Weekly for 50 weeks", "household_charge": "Yes", "is_carehome": "No" }, { "period": "Weekly for 50 weeks", "household_charge": null, "is_carehome": "No" }, { "period": "Weekly for 49 weeks", "household_charge": "Yes", "is_carehome": "No" }, { "period": "Weekly for 49 weeks", "household_charge": null, "is_carehome": "No" }, { "period": "Weekly for 48 weeks", "household_charge": "Yes", "is_carehome": "No" }, { "period": "Weekly for 48 weeks", "household_charge": null, "is_carehome": "No" }, { "period": "Weekly for 47 weeks", "household_charge": "Yes", "is_carehome": "No" }, { "period": "Weekly for 47 weeks", "household_charge": null, "is_carehome": "No" }, { "period": "Weekly for 46 weeks", "household_charge": "Yes", "is_carehome": "No" }, { "period": "Weekly for 46 weeks", "household_charge": null, "is_carehome": "No" }, { "period": "Weekly for 52 weeks", "household_charge": "Yes", "is_carehome": null }, { "period": "Weekly for 52 weeks", "household_charge": null, "is_carehome": null }, { "period": "Weekly for 50 weeks", "household_charge": "Yes", "is_carehome": null }, { "period": "Weekly for 50 weeks", "household_charge": null, "is_carehome": null }, { "period": "Weekly for 49 weeks", "household_charge": "Yes", "is_carehome": null }, { "period": "Weekly for 49 weeks", "household_charge": null, "is_carehome": null }, { "period": "Weekly for 48 weeks", "household_charge": "Yes", "is_carehome": null }, { "period": "Weekly for 48 weeks", "household_charge": null, "is_carehome": null }, { "period": "Weekly for 47 weeks", "household_charge": "Yes", "is_carehome": null }, { "period": "Weekly for 47 weeks", "household_charge": null, "is_carehome": null }, { "period": "Weekly for 46 weeks", "household_charge": "Yes", "is_carehome": null }, { "period": "Weekly for 46 weeks", "household_charge": null, "is_carehome": null } ] }, "rent_bi_weekly": { "header": "Household rent and charges", "description": "", "questions": { "brent": { "check_answer_label": "Basic rent", "header": "What is the basic rent?", "hint_text": "This is the amount paid before any charges are added for services (for example, hot water or cleaning). Households may receive housing benefit or Universal Credit towards basic rent.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 2 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "scharge": { "check_answer_label": "Service charge", "header": "What is the service charge?", "hint_text": "For example, for cleaning. Households may receive housing benefit or Universal Credit towards the service charge.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 2 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "pscharge": { "check_answer_label": "Personal service charge", "header": "What is the personal service charge?", "hint_text": "For example, for heating or hot water. This doesn’t include housing benefit or Universal Credit.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 2 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "supcharg": { "check_answer_label": "Support charge", "header": "What is the support charge?", "hint_text": "Any charges made to fund support services included in tenancy agreement.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 2 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "tcharge": { "check_answer_label": "Household rent and charges", "header": "Total charge", "hint_text": "This is the total for rent and all charges.", "type": "numeric_output", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 2 weeks", "readonly": true, "requires_js": true, "fields_added": ["brent", "scharge", "pscharge", "supcharg"] } }, "depends_on": [ { "household_charge": "Yes", "period": "Every 2 weeks", "is_carehome": "No" }, { "household_charge": null, "period": "Every 2 weeks", "is_carehome": "No" }, { "household_charge": "Yes", "period": "Every 2 weeks", "is_carehome": null }, { "household_charge": null, "period": "Every 2 weeks", "is_carehome": null } ] }, "rent_4_weekly": { "header": "Household rent and charges", "description": "", "questions": { "brent": { "check_answer_label": "Basic rent", "header": "What is the basic rent?", "hint_text": "This is the amount paid before any charges are added for services (for example, hot water or cleaning). Households may receive housing benefit or Universal Credit towards basic rent.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 4 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "scharge": { "check_answer_label": "Service charge", "header": "What is the service charge?", "hint_text": "For example, for cleaning. Households may receive housing benefit or Universal Credit towards the service charge.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 4 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "pscharge": { "check_answer_label": "Personal service charge", "header": "What is the personal service charge?", "hint_text": "For example, for heating or hot water. This doesn’t include housing benefit or Universal Credit.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 4 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "supcharg": { "check_answer_label": "Support charge", "header": "What is the support charge?", "hint_text": "Any charges made to fund support services included in tenancy agreement.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 4 weeks", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "tcharge": { "check_answer_label": "Household rent and charges", "header": "Total charge", "hint_text": "This is the total for rent and all charges.", "type": "numeric_output", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every 4 weeks", "readonly": true, "requires_js": true, "fields_added": ["brent", "scharge", "pscharge", "supcharg"] } }, "depends_on": [ { "household_charge": "Yes", "period": "Every 4 weeks", "is_carehome": "No" }, { "household_charge": null, "period": "Every 4 weeks", "is_carehome": "No" }, { "household_charge": "Yes", "period": "Every 4 weeks", "is_carehome": null }, { "household_charge": null, "period": "Every 4 weeks", "is_carehome": null } ] }, "rent_monthly": { "header": "Household rent and charges", "description": "", "questions": { "brent": { "check_answer_label": "Basic rent", "header": "What is the basic rent?", "hint_text": "This is the amount paid before any charges are added for services (for example, hot water or cleaning). Households may receive housing benefit or Universal Credit towards basic rent.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every month", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "scharge": { "check_answer_label": "Service charge", "header": "What is the service charge?", "hint_text": "For example, for cleaning. Households may receive housing benefit or Universal Credit towards the service charge.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every month", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "pscharge": { "check_answer_label": "Personal service charge", "header": "What is the personal service charge?", "hint_text": "For example, for heating or hot water. This doesn’t include housing benefit or Universal Credit.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every month", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "supcharg": { "check_answer_label": "Support charge", "header": "What is the support charge?", "hint_text": "Any charges made to fund support services included in tenancy agreement.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every month", "fields-to-add": ["brent", "scharge", "pscharge", "supcharg"], "result-field": "tcharge", "hidden_in_check_answers": true }, "tcharge": { "check_answer_label": "Household rent and charges", "header": "Total charge", "hint_text": "This is the total for rent and all charges.", "type": "numeric_output", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every month", "readonly": true, "requires_js": true, "fields_added": ["brent", "scharge", "pscharge", "supcharg"] } }, "depends_on": [ { "household_charge": "Yes", "period": "Every calendar month", "is_carehome": "No" }, { "household_charge": null, "period": "Every calendar month", "is_carehome": "No" }, { "household_charge": "Yes", "period": "Every calendar month", "is_carehome": null }, { "household_charge": null, "period": "Every calendar month", "is_carehome": null } ] }, "rent_shortfall": { "header": "", "description": "", "questions": { "hbrentshortfall": { "check_answer_label": "Outstanding amount for basic rent and charges", "header": "After the household has received any housing-related benefits, will they still need to pay for rent and charges?", "hint_text": "Also known as the ‘outstanding amount’.", "type": "radio", "answer_options": { "0": { "value": "Yes" }, "1": { "value": "No" } } } }, "depends_on": [ { "has_benefits": "Yes", "household_charge": "Yes" }, { "has_benefits": "Yes", "household_charge": null } ] }, "rent_shortfall_amount": { "header": "", "description": "", "questions": { "tshortfall": { "check_answer_label": "Estimated outstanding amount", "header": "What do you expect the outstanding amount to be?", "hint_text": "Give an estimated amount if you don’t know the exact figure.", "type": "numeric", "min": 0, "step": 1, "width": 5, "prefix": "£", "suffix": " every month" } }, "depends_on": [ { "has_benefits": "Yes", "hbrentshortfall": "Yes" } ] } } } } }, "submission": { "label": "Submission", "subsections": { "declaration": { "label": "Declaration", "depends_on": [ { "setup": "completed", "household_characteristics": "completed", "household_situation": "completed", "household_needs": "completed", "tenancy_information": "completed", "property_information": "completed", "income_and_benefits": "completed" } ], "pages": { "declaration": { "header": "", "description": "", "questions": { "declaration": { "check_answer_label": "", "header": "Submit your lettings log ", "hint_text": "", "type": "checkbox", "answer_options": { "declaration": "The tenant has seen the Department for Levelling Up, Housing & Communities (DLUHC) privacy notice" } } } } } } } } } }