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Valuing Diversity

Customer Information Collection On Line Form

HFI is asking all its tenants and leaseholders to give us up-to-date information about themselves and the people they live with using the form.

Why does this form ask me for personal information?
We recognise that Islington is a very diverse and varied place in which to live and this is reflected in the differences amongst our customers. The information our customers give us in the form can help us plan and improve our services, for example, a service targeted at older people to help them in their homes. We also have a duty to check that our services do not treat customers unfairly because of their age, gender, disability or impairment, ethnicity, religion or belief, or sexuality. Collecting this information will help us to do this.

We appreciate that some of the questions on the form are quite personal. You are not obliged to answer any or all of the questions if you would prefer not to. There is a 'Prefer not to say' option on most of the questions for you to indicate when you would rather not answer a question.

How can I benefit from answering these questions?
HFI can use the information you give us on the form to vary its service in a way that meets your needs. Examples might include:

  • You would prefer HFI to contact you by email
  • You need a translator whenever we contact you
  • Someone living with you has a serious disability or impairment

If you, or someone living with you, has a disability or impairment and you feel there is something HFI could do to help you, for example, give you more time to answer your front door when we call at your home, then please let us tell us in Question 5 on the form. We cannot guarantee will be able to meet every request but we will attempt to meet your needs whenever we can.
If your circumstances change after filling in this form please update your information so we can correct our records.

How will Homes for Islington use my information?
Any information that you give us will only be used by us and, where appropriate, our contractors. We will not share this information with anyone else.

Homes for Islington will use the information you provide on this form to provide high quality services tailored to your needs. Homes for Islington will also use the information received to ensure all our residents have equal access to our services. Only Homes for Islington and its authorised agents will use this information. The Information will be protected by the Data Protection Act 1998.
    
We would be grateful if the tenant or leaseholder answers the questions on this form.
If you have a joint tenancy or joint lease, each tenant or leaseholder is asked to complete the on-line form seperately. Please answer as many questions as you are happy to complete.
Your Address
Your Title:
Your First Name
Your Family Name
Your date of birth
We can often provide you with a quicker service if we have all your main contact details. If you wish please complete the following:
Your contact telephone number
Your email address
HFI will usually contact its customers by telephone or letter.
If you would like to be contacted in another way please let us know.
HFI aims to meet your request whenever we can (please tick boxes any that apply)
 
 
Your gender
 
What is the main language you use?
 
If other please specify
 
Do you need an interpretor when contacting HFI  
 
Do you consider yourself to have an impairment or to be disabled? (tick any that apply)
 
If other please specify
 
Is there someone living with you (other than the joint tenant or joint leaseholder) that has a disability or impairment? (tick any that apply)
   
If yes please give their details
Title:
First Name
Family Name
Please let us know about their disability or impairment
 
If other please specify
 
If you, or any member of your household, have a disability or impairment can HFI help?
HFI aims to meet your needs but it cannot guarantee it will be able to meet all individual requirements
The disability or impairment is not affected by HFI service delivery (please tick if applies)
HFI can help by changing the service it provides to my household (if this applies please say how)
 
Religion or belief
What is your religion or belief?
If other please specify
 
Ethnic origin
How would you describe your ethnic origin
If other please specify
 
Sexuality
How do you define your sexuality
 
Please tick if you are a gypsy or traveller
 
If someone helped you complete this form because of sight problems or because you do not read or write English, and you would like them to help you in the future when HFI contacts you please give us their name and contact details.
Name
Contact Details