Request edit access
Health and Housing Community Survey
The Health and Housing Community Survey will help us learn more about local efforts to link health and housing in order to improve health outcomes and housing access.
Where do you work?
State or National Non-Profit
Foundation or Community Development Corporation
Public Health Department
Public Housing Authority
Other Government Agency (fill in below)
What kind of work do you do?
Community Health or Services
Resident Organizing or Advocacy
What housing challenges do you think contribute to inequitable health outcomes in your community?
Community resistance to affordable housing
High rates of violence or crime
Housing instability (e.g. high rates of occupant turnover)
Lack of complementary infrastructure or services (e.g. transportation, schools, utilities)
Lack of interagency coordination
Poor housing quality or maintenance
Proximity to environmental hazards
Racial and/or income-based segregation
What do you think are the cause(s) or contributing factor(s) to the challenges identified above (e.g. lack of funding, market forces, tax policy, lack of political will)?
Who are your primary partners in your housing work?
Foundations or community development corporations
Private sector businesses or financial institutions
Public Housing Authorities
Public health departments
Other Government Agencies (fill in below)
What strategies are you using to integrate health and housing in your work ?
We are interested in how the provision of affordable housing is addressed at various scales (local, regional, state, federal). What level(s) do you think are most effective?
Do you have any questions about integrating health and housing practices?
City and State
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service