CWH Affordable Housing Survey

Affordable Housing Survey
First Name
Last Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Housing Needs and Eligibility
I am interest in:*

BUYING an affordable homeRENTING an affordable homeEITHER BUYING OR RENTING an affordable homeNOT LOOKING TO MOVE
Tell us about your current housing. I currently:

rent a home, apartment or roomown a homelive with friends/familydo not have a place to live
TOP 3 MOST IMPORTANT THINGS ABOUT MY HOME from the list below:

Close to work or schoolClose to services (grocery, doctor, shopping)On-site amenities (pool, dog park)Close to transit (bus, light rail)Safe neighborhood, low crime rate
Do you feel that your current housing is affordable for your budget?

YesNoUnsure
How much a month do you spend on housing (rent or mortgage)?
How many people are in your household?

1 person2 persons3 persons4 persons5 persons6 persons
What is your total household income before taxes (GROSS ANNUAL INCOME)?

0-$30,000$30,001-$50,000$50,001-$60,000$60,001-$70,000$70,001-$80,000$80,001-$90,000$90,000-$100,000$110,000-$120,000$120,000 +
Name*

First NameLast Name
Should be Empty:

Affordable Housing Survey