Homeowner Survey - Marin Housing Solutions
Your participation in this survey is crucial to Marin Housing Solutions for the identification of the need for fair and affordable housing and development of new housing solutions in Marin County. It should only take 4 to 5 minutes to complete the survey and your participation is anonymous. You will not be asked for any personal information that could reveal your identity. Thank you for assisting us.
1. 0n a scale from 0 to 9, where 0 is “Extremely Unsatisfied” and 9 is “Extremely Satisfied,” how satisfied are you with your housing situation?
Extremely Unsatisfied
0
1
2
3
4
5
6
7
8
9
Extremely Satisfied
Clear selection
1.a If you are unsatisfied with your housing situation (rating of 0-4 above), why are you unsatisfied? Select all that apply.
Home needs repairs that I can’t afford
Unable to afford basic necessities due to cost of maintaining home
Property value fell
Foreclosure concerns
Bad/rude/loud neighbors
Crime in neighborhood
Poor/low school quality
Not enough job opportunities in the area
Too much street/highway noise
Too much traffic
Inadequate access to health care/medical facilities
Inadequate access to public transit
Other:
2. If you had the opportunity, would you like to move from your current home?
Yes
No (skip to question 3)
I don't know (skip to question 3)
Clear selection
2.a If yes, why would you like to move?
Downsize to smaller house/apartment
Bigger house/apartment/more bedrooms
Save money/get something less expensive
Want to move to different neighborhood (please specify where)
Want to move to different city/county (please specify where)
Crime/safety reasons
Better schools
Closer to transit
Better job opportunities
Closer to work
Closer to family
Get own place/live with fewer people
Need more accessible unit or house
Other:
3. Do you have a mortgage on your home?
Yes
No
Clear selection
4. What portion of your income is spent on housing?
Your answer
5. What year did you purchase your home?
Your answer
6. Do you rent out rooms in your home?
Yes
No
Clear selection
7. How many bedrooms are empty in your home?
Your answer
8. When you looked for housing in Marin County, did you ever feel you were discriminated against?
Yes
No (skip to question 9)
Clear selection
8.a If yes, what was the reason you felt discriminated against?
Your answer
8.b What did you do about the discrimination? Select all that apply.
Nothing—I wasn’t sure what to do
Nothing—I was afraid of being evicted/harassed
Moved/found another place to live
Called/emailed housing authority
Called/emailed fair housing organization
Called/emailed government agency/city council
Called/emailed a lawyer
Called /emailed other organization
Filed a complaint
Other:
9. If you felt you or someone you knew were discriminated against when looking for housing, what would you do? Select all that apply.
Nothing
Look for help on the Internet
Contact a friend or family member I trust for advice
Contact a lawyer/Legal Aid/ACLU
Contact HUD
Contact a Fair Housing Organization
Contact a Civil Rights group
Contact a Human Rights group
Contact city/county government/elected officials
Contact housing authority
Other:
10. How many people, including you, currently live in your household?
One/I live alone
Two
Three
Four
Five
Six
Seven or more
Clear selection
11. Do you have any, children under age 18, currently living in your household?
Yes
No
Clear selection
12. What is your current marital status?
Single
Married
Divorced
Widowed
Other:
Clear selection
13. What is your gender?
Female
Male
Other:
Clear selection
14. Of which racial, ethnic or cultural group do you consider yourself a member? Select all that apply.
African American/Black
American Indian/Native American
Asian
Asian Indian
Hispanic
Native Hawaiian/Pacific Islander
Multi-racial
White/Caucasian/Anglo
Other:
15. In what year were you born?
Your answer
16. Into what category does your total household income fall?
Less than $5,000
$5,000 up to $9,999
$10,000 up to $14,999
$15,000 up to $19,999
$20,000 up to $24,999
$25,000 up to $34,999
$35,000 up to $49,999
$50,000 up to $74,999
$75,000 up to $99,999
$100,000 up to $149,999
$150,000 or more
Clear selection
17. Other than employment, do you receive any of the following? Select all that apply.
Social Security
Disability
Pension
Unemployment Compensation
Alimony
Financial Assistance
Other:
18. What suggestions do you have to make housing in Marin County more available?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
