6550 Pardall Rd. - Suite B (upstairs from Grafikart)
Isla Vista, CA 93117
893-4246

Associated Students Landlord - Management Company Evaluation Form

The Landlord/Management Company Evaluation project is in an experimental phase to assess the usefulness of on-line evaluations by tenants in the UCSB Community. Please be honest and fair in your evaluation. We regret that this form is designed to give only UCSB students, staff, and faculty the opportunity to participate. In order for the form to be processed, you must provide the following personal information which will not be posted on the Website but will be retained in the UCSB AS Legal Resource Center's confidential records.

By filling out this personal information, I the Evaluator, agree to accept personal responsibility for my entries on the evaluation form.

Personal information required to fill out the Evaluation: Will NOT be posted on the website:
First Name:
 Last Name:
 E-mail:
Local Street Address + Apt#
 Local Phone #:
 UCSB Student ID (if a UCSB student) or UCSB Employee ID:
City
 Zip Code

 Tenant's Status:  UCSB Undergrad  UCSB Grad Student  UCSB Staff  UCSB Faculty

Term of agreement:  month-to-month  year  9 months  other
Start and end date (month/year) of agreement: Start   End
Type of rental unit:   apartment   house   fraternity   sorority   co-op   privately owned University affiliated dorm   campus dorm   room in private home   duplex
# of bedrooms:   # of bathrooms (.5 for no shower or tub):   # of tenants in unit:
Address of rental unit:
Neighborhood name [i.e. Isla Vista]:
Landlord/owner's name:
Landlord/owner's address:
Property Management Company:
Company's Address:
Monthly rent for whole unit (total for all tenants in unit):
Total amount paid for security deposit, including last month's rent, for whole unit:

Please indicate below any problems encountered with the rental unit and what action you took to correct the problem. If two boxes appear checked on the same line, do not be alarmed. The Evaluation Form will be processed correctly.
 Problem
 No Problem (N/P)
 Problem Existed,
but not reported
 Problem Existed,
reported verbally
 Problem Existed,
reported in writing
 Leaking Roof        
 Plumbing        
 Rodents/Vermin/
Insects		        
 Heating        
 Locks/Security        
 Smoke Alarms        
 Electrical/Wiring        
 Bathroom Ventilation        
 Mildew/Mold        
 Garbage Storage/Removal        
 General Dilapidation
or improper maintenance		        

Only if you had and did report some or all of the following problems to the landlord/management, then rate the landlord/management on timeliness and quality of repairs on a scale of 1 to 5. 1=poor 2=fair 3=satisfactory 4=good 5=excellent

Problem

Rating of Timeliness of Repairs

Rating of Quality of Repairs
 Leaking Roof  1  2  3  4  5      1  2  3  4  5
 Plumbing  1  2  3  4  5      1  2  3  4  5
 Rodents/Vermin/Insects  1  2  3  4  5      1  2  3  4  5
 Heating  1  2  3  4  5      1  2  3  4  5
 Locks/Security  1  2  3  4  5      1  2  3  4  5
 Smoke Alarms  1  2  3  4  5      1  2  3  4  5
 Electrical/Wiring  1  2  3  4  5      1  2  3  4  5
 Bathroom Ventilation  1  2  3  4  5      1  2  3  4  5
 Mildew/Mold  1  2  3  4  5      1  2  3  4  5
 Garbage Storage/Removal  1  2  3  4  5      1  2  3  4  5
 General Dilapidation or improper maintenance  1  2  3  4  5      1  2  3  4  5

On a scale from 1 to 5, rate the landlord or property management company on the following factors.
1=poor 2=fair 3=satisfactory 4=good 5=excellent N/A=no answer
 Condition of Interior at move-in:  N/A  1  2  3  4  5
 Condition of exterior at move-in:  N/A  1  2  3  4  5
 Upkeep of grounds during tenancy:  N/A  1  2  3  4  5
 Parking facilities:  N/A  1  2  3  4  5
 Privacy granted by landlord/company:  N/A  1  2  3  4  5
 Respect granted by landlord/company:  N/A  1  2  3  4  5
 Timeliness of response to requests for repairs:  N/A  1  2  3  4  5
 Quality of repairs:  N/A  1  2  3  4  5
 Fair amount returned on security deposit:
Note: Landlord has 21 days after move-out to give accounting and any refund owing. 		 N/A  1  2  3  4  5
 Timeliness in returning security deposit:  N/A  1  2  3  4  5
 Overall evaluation of landlord/company:  N/A  1  2  3  4  5

Would you recommend this landlord to a close friend?   yes   no   maybe