Help us tailor our support (incl. household members)

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Tailored support for customers

Your household

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Joint tenant existing details

Joint tenant

We have the following joint tenant details on our system, please make any changes necessary below so we can update our records

Customer ID
(read only)

First name *

Last name *

Date of birth

Relationship to main tenant *

What sex were they assigned at birth? *

Female
Male

Do they still live at the property? *

Yes
No, they no longer live at the property

Thank you for confirming, we will remove from your contact group on our system

Add Household Member 0 text

Household members

We don't have any household members on our system

HH1 existing details

Household members

We have the following household members on our system, please make any changes necessary below so we can update our records

Customer ID
(read only)

First name *

Last name *

Date of birth

Relationship to main tenant *

What sex were they assigned at birth? *

Female
Male

Do they still live at the property? *

Yes
No, they no longer live at the property

Thank you for confirming, we will remove from your contact group on our system

Add Household Member 1

Is there anyone else living with you? *

Yes, add a household member
No

HH1 new details

First name *

Last name *

Date of birth

Relationship to main tenant *

What sex were they assigned at birth? *

Female
Male

Is there anyone else living with you? * This is just for additional household members and doesn't include a joint tenant

Yes, add a household member
No

HH2 existing details

Customer ID
(read only)

First name *

Last name *

Date of birth

Relationship to main tenant *

What sex were they assigned at birth? *

Female
Male

Do they still live at the property? *

Yes
No, they no longer live at the property

Thank you for confirming, we will remove from your contact group on our system

Add Household Member 2

Is there anyone else living with you? * This is just for additional household members and doesn't include a joint tenant

Yes, add a household member
No

HH2 new details

First name *

Last name *

Date of birth

Relationship to main tenant *

What sex were they assigned at birth? *

Female
Male

Is there anyone else living with you? * This is just for additional household members and doesn't include a joint tenant

Yes, add a household member
No

Your household

Health of your household

We want to find out more information about your household so we can tailor our services to support you.

Does anyone in your household have a physical or mental health condition or illness that is likely to last more than 12 months? * Not including yourself or the joint tenant

Yes
No
Prefer not to say

How do these conditions or illnesses affect their everyday life? *

Dexterity
Learning / Understanding / Concentration
Hearing
Memory
Mental health
Mobility
Social or Behavioural
Stamina / Breathing / Fatigue
Vision
Other

Please specify how the condition or illness affects their dexterity * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their learning / understanding / concentration * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their hearing * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their memory * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their mental health * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their mobility * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects them socially or behaviourally * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their stamina, breathing or fatigue levels * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects their vision * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

Please specify how the condition or illness affects them in other ways * Your response will be stored anonymously, so please don’t include names or anything that could identify anyone in your household

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© Accent Housing Limited 2026

Accent Group Limited, a charitable Registered Society under the Co-operative and Community Benefit Societies Act 2014 Number 30444R. Registered address: 3rd Floor, Scorex House, 1 Bolton Road, Bradford, West Yorkshire, BD1 4AS. Registered with the Regulator of Social Housing Number L4511.

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