Full Name *

Mobile Number * I'm happy to be contacted on WhatsApp using this number

Email Address *

Year of birth *

London Borough * Barking and Dagenham Barnet Bexley Brent Bromley Camden City of London Croydon Ealing Enfield Greenwich Hackney Hammersmith and Fulham Haringey Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston upon Thames Lambeth Lewisham Merton Newham Redbridge Richmond upon Thames Southwark Sutton Tower Hamlets Waltham Forest Wandsworth Westminster

How many bedrooms do you currently have? * Studio 1 bedroom 2 bedrooms 3 bedrooms 4 bedrooms 5 or more

Are you an Upsizer or Downsizer? * Upsizer — I need a bigger home Downsizer — I need a smaller home

How long have you been in need of a new home?

Fill in whatever applies — leave the rest blank.

Employment status * Employed (full-time) Employed (part-time) Self-employed Not currently working Receiving benefits (e.g. Universal Credit) Student Retired Unable to work

Is your tenancy a single or joint tenancy? * Single tenancy Joint tenancy

What type of tenancy do you have? * Secure tenancy Assured tenancy Introductory tenancy Flexible tenancy Fixed-term assured tenancy

Are you a care leaver? * Yes No

Have you got a garage unit or storage attached to your tenancy? * Yes No

Is your property registered with Glassbob or Homeswapper? * Yes No

Have you hosted any viewings at your property in the last 24 months? * Yes No

Do you have a garden? * Yes No

Is your rent account currently in arrears? * Yes No

Children in your household

Add each child living with you — or leave empty if none.

+ Add child

Have you got a local support system? * Yes No

Pictures of your home

Please add a shot of each room below — a varied set helps us match you far faster. You can pick more than one file per room. JPG, PNG or WebP, max 8MB each, 10 photos in total. Only our team sees these; they are never shown publicly.

Religion Prefer not to say No religion Christian Buddhist Hindu Jewish Muslim Sikh Other

Ethnicity Prefer not to say White Mixed or multiple ethnic groups Asian or Asian British Black, African, Caribbean or Black British Other ethnic group

Have you previously been a victim of domestic violence? *

Answering helps us support you. Your answer is confidential, only seen by our team, and "Prefer not to say" is always OK.

Yes No Prefer not to say

Are you currently in receipt of a dual claim for housing benefit due to domestic violence? * Yes No Prefer not to say