IABC/ Greater HUD Tenants Housing Survey
InJustice@BrickCity  is working in conjunction with HUD Tenants Association to Assess Essex's Housing stock - -
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Email *
1.) What is your name? *
1a)What is your zip code *
2) Respondent's complete home address and apartment# (canvasser you can complete this yourself while on site) *
3) What is your phone number? *
4)Do areas of your home of building have a musty or moldy smell?
*
4a) Does your home have mold? *
5) Have you noticed an increase in frequency in cold and allergy symptoms? *
6) Is mold or mildew in your bathroom appearing more frequently and/or to a greater extent?
*
7)  Has your home or building suffered from water damage in the last two years? *
8)  Do you notice condensation on the inside of your windows or glass sliding doors? *
9) Did you received a lead-safe certificate from your landlord when you leased your apartment? *
10) If you have received a lead-safe certificate from your landlord, do you currently have a copy?
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11)Was your building subjected to a Lead Line replacement? *
12) Please indicate if you want to get your water and/or home tested for Lead? *
13) Have you had your water tested (2017-2024)? *
14.) If  yes what was the result?
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15) Have your children ever been tested for lead?- *
16) If your children have tested for lead, what was the result? . *
17) Have you ever called code-enforcement? *
18) If you called code-enforcement, did code-enforcement resolve your issue? *
19)Does your building currently  have any of the following issues?. *
Required
19a) Do you notice condensation on the inside of your windows or glass sliding doors?
*
19b)  Do areas of your home of building have a musty or moldy smell? *
19c).  Is mold or mildew in your bathroom appearing more frequently and/or to a greater extent? *
15) Can we follow up with you? *
20) Best way to contact you, *
21) How long have you lived in Essex County, NJ? *
Canvassers name?
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