1.	Do you agree with our proposals for changes to the system for ONE YEAR?
	Yes
	No

2.	If you have any comments about the proposals, put them here:

Tell us about your response

3.	Does this response represent the views of:
	The service you provide
	Your clients and/or customers
	You as an individual

Service response

4.a	Organisation name (optional)

4.b	Organisation postcode

Client and customer response

4.c	Organisation name (optional)

4.d	Organisation postcode

Individual response

5.	Home postcode

6.	Are you any of the following? (Please tick all that apply.)
	A property owner letting residential property in Manchester
	An agent letting residential property in Manchester on behalf of owners
	The owner of a second home
	A home owner
	A tenant renting in private accommodation
	A tenant renting in social accommodation

Only answer the following questions if you have completed this consultation as an individual.

7.	Are you?
	Male
	Female
	Prefer not to say

8.	How old are you?
	Under 18
	19-24
	25-34
	35-60
	61 or over
	Prefer not to say

9.	What is your current employment status? (Please tick all that apply.)
	Work part-time
	Work full-time
	Self-employed
	Registered unemployed
	Wholly retired from work
	Looking after family/home
	Permanently sick and disabled
	In full-time education
	A volunteer

10.	Out of the following benefits, which are you claiming? (Please tick all that apply.)
	Jobseeker’s Allowance
	Employment Support Allowance/Incapacity Benefit
	Income Support
	Housing Benefit
	Council Tax Benefit
	Working Tax Credit
	Child Tax Credit

11.	What is your annual household income? This includes earnings, pensions and benefits of all adults.
	Under £12,000
	£12,000 to £17,999
	£18,000 to £29,999
	£30,000 to £39,999
	£40,000 to £79,999
	£80,000 and above
	Prefer not to say

12.	What is your ethnic origin/background?
	White - British/English/Welsh/Scottish/Northern Irish
	White - Irish
	White - Gypsy or Irish Traveller
	White - Other
	Mixed - White and Black Caribbean
	Mixed - White and Black African
	Mixed - White and Asian
	Mixed - Other
	Asian or Asian British - Indian
	Asian or Asian British - Pakistani
	Asian or Asian British - Bangladeshi
	Asian or Asian British - Chinese
	Other Asian or Asian British Background
	Black or Black British - African
	Black or Black British - Caribbean
	Any Other Black or Black British Background
	Arab
	Prefer not to say
	Other

	Please specify

13.	Would you identify yourself as a disabled person?
	Yes
	No

14.	Are You?
	Lesbian or Gay
	Bisexual
	Heterosexual (Straight)
	Prefer not to say

15.	Do you have a faith or belief?
	No Faith
	Prefer not to say
	Yes

	My faith is