Springfield No One Leaves/Nadie Se Mude - Housing/Community Issues Assessment Survey
This summer, Springfield No One Leaves is surveying hundreds of residents throughout the city to learn about and identify the issues that our communities are most concerned about and to plan organizing campaigns to increase the voice and power of our community and fight to win victories that address these issues. Please take a minute to fill out this survey:
What neighborhood do you live in? *
Are you
Clear selection
How much do you pay monthly for your housing?
How much do you pay monthly for your utilities?
What is your monthly income?
On a scale of 1 to 5, how concerned are you about:
The cost of Rent/Mortgage
Not concerned
Very concerned
Clear selection
Foreclosure
Not concerned
Very concerned
Clear selection
Threat of Eviction or Displacement
Not concerned
Very concerned
Clear selection
Homelessness
Not concerned
Very concerned
Clear selection
Bad conditions in your home
Not concerned
Very concerned
Clear selection
Vacant Land/Buildings
Not concerned
Very concerned
Clear selection
Lack of Affordable Housing
Not concerned
Very concerned
Clear selection
Lack of Employment
Not concerned
Very concerned
Clear selection
Neighborhood/Home Safety
Not concerned
Very concerned
Clear selection
Safe Community Space
Not concerned
Very concerned
Clear selection
Are you currently facing:
Check all applicable
Please give us some details:
Do you know your legal housing rights?
What other issues in your community are you most concerned about?
If you could change anything in your community what would it be?
If you had the power to decide what type of development happens in your neighborhood, what would you do? (i.e. parks, school affordable housing, etc...)
Race/Ethnicity:
Gender:
Age:
Citizenship:
Sexuality:
City you live in:
City/Town/Country of Origin:
--OPTIONAL--
Name:
Phone Number:
Email
Address:
Would you be interested in getting involved with Springfield No One Leaves/learning more? *
Would you be willing to participate in a focus group discussion on housing and income issues? *
Submit
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