Residential Interest Survey for those WITHOUT a Disability Interested in Living in an Inclusive Community

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This survey is intended for INDIVIDUALS WITHOUT SPECIAL NEEDS interested in living in a supportive, inclusive community for people with and without disabilities.

Check all of the boxes that describe you: *

Parent of someone who has special needs

Sibling or other family member of someone who has special needs

Friend of someone who has special needs

Spouse of someone who has special needs

Works as an educational or support service professional

Veteran

College student

Family with school-age or younger child who has special needs

Host home or foster care provider

Passion for the special needs community

Other:

Required

In what county do you currently live? *

Summit

Wasatch

Salt Lake

Morgan

Other:

What living arrangements do you prefer or would consider: *

Renting and living with roommates without disabilities

Renting and living with roommates with disabilities

I would like to buy a home for my child with disabilities, but not live in the home

I would like to buy a home and live with my family member who has a disability

Renting a single apartment in the neighborhood

Buying a single apartment in the neighborhood

I would like to buy a percentage of a home with other families

I do not have disabilities or a family member with disabilities, but I would buy a home and live in the neighborhood

Required

What type of home would you consider: *

Tiny home / studio

Apartment, 1 - 2 bedrooms

Townhouse, 2 - 3 bedrooms

Single-story family home, 2-5 bedrooms

Multi-story family home, 2-5 bedrooms

Other:

Required

The maximum I could afford to pay rent and utilities each month is: *

N/A, I want to buy my home or apartment

$301 - $450 (including utilities)

$451 - $600 (including utilities)

$601 - $850 (including utilities)

$851 - $1000 (including utilities)

$1000 - $1200 (including utilities)

$1200-1400 (including utilities)

Over $1400 (including utilities)

The maximum I could afford to purchase a home or apartment: *

N/A, I want to rent

$50,000 or less

$50,000 - $100,000

$100,000 - $200,000

$200,000 - $300,000

$300,000 - $400,000

$400,000 - $500,000

$500,000 - $700,000

More than $700,000

What features of your home are important: *

Not important

Neutral

Important

Extremely Important

Kitchen with lots of counter space and storage

Energy-efficient home and appliances

Lots of natural light, large windows

Front porch

Back patio

Walk-in closets

Laundry room (as opposed to using community laundry room)

Fenced back yard (as opposed to no fencing)

Garage (as opposed to common covered parking area)

What features of your neighborhood are important: *

Not important

Neutral

Important

Extremely Important

Children's Playground

Dog park

Bike or walking trail

Outdoor BBQ & Kitchen with pavilion

Pool

Community garden

Big-screen theatre room

Community building and indoor common space

Fitness room or gym

Art or woodworking workshop

A coffee shop or lounge

Please rank the following in terms of importance to you for your future neighborhood: *

Not important

Neutral

Important

Extremely Important

Safety of neighborhood

Access to public transportation

Employment opportunities that assist people with disabilities

Recreation & social activities

Having relationships with my neighbors

Sharing childcare or other errands

A culture of helping each other, interdependence

Opportunity for college credit

How did you hear about this survey? (choose all that applies) *

Bridge21 email

Referred by a friend, neighbor, co-worker, or relative

Internet Search

The Agency for Persons with Disabilities (APD)

Center for Independent Living (CIL)

Newspaper Article or Television Feature Story

Bridge21 Activity or Event

Other:

Required

Ways I would like to support my neurodiverse neighbors: *

I would consider being a host home to a person with disabilities

I would consider offering direct support for hourly wage or reduction in rent

I would volunteer to help a neighbor a few times a week

I would consider using my talents to teach a class once a week for hourly wage or reduction in rent

I would volunteer to teach a class as my time allows

I would consider organizing and hosting social events for hourly wage or reduction in rent

I would volunteer to organize a social event or group activity

I would be an Uber or Lyft driver that serves my neighborhood

I would volunteer to help someone with scheduled transportation needs (like to a class or work)

Other:

Required

How many hours per month would I be able and interested to volunteer my time and talents? *

0 - 4

5 - 10

10 - 20

20 - 30

30+

Why do you want to live in a neighborhood like Bridge21 Park City?

Please provide any comments or suggestions you would like to make?

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