Form Center

2. 
4. Thank you for taking part in this survey to assist in identifying housing needs in Snohomish County. The Housing Affordability Regional Taskforce wants to hear from you, to assist in focusing on housing needs in Snohomish County.
   This survey should take approximately 5 minutes. Answers are anonymous and confidential. Please complete this survey only one time.
6. In what type of home do you currently live?
   
   
   -- Select One --ApartmentCondominiumDuplexMobile homeNo regular addressShelterSingle-family houseTownhome
7. Which of the following best describes your current housing situation?
   -- Select One --OwnerRenterLiving with others but not paying housing expensesLiving with others and assisting with housing expensesIn transitionHomeless
9. After you pay your monthly rent or mortgage, do you have enough money to pay for your other basic needs like food, transportation, healthcare and utilities?
   -- Select One --All the timeSometimesNever
10. How many times have you moved in the last 5 years?
    
    
    
    -- Select One --01 - 23 - 55 or more
11. On a scale of 1 to 5, with 1 being 'not at all satisfied', how satisfied are you with your current housing situation?
    
    
    -- Select One --12345
13. If not entirely satisfied, please tell us why. Select all that apply.

    1. Home needs repairs that I cannot afford
    2. Too far from job and services
    3. Landlord won't make repairs
    4. Property value fell

    1. Foreclosure concerns
    2. Bad, rude or loud neighbors
    3. Crime in neighborhood

    1. Too expensive
    2. Not applicable
    3. Comments
15. Comments?
17. What factors are most important to you when choosing your place to live? Please select all that apply.

    1. Cost I can afford
    2. Close to bus/transit stops
    3. Close to services
    4. Close to work

    1. Close to shopping
    2. Close to family and friends
    3. Close to schools
    4. Close to Health care facilities

    1. Low crime rate
    2. Landlord accepts Section 8
    3. Like the neighborhood
    4. Like the home

    1. Number of bedrooms
    2. School district
    3. Yard size
    4. Other
19. Other, please specify?
21. Have you considered moving in the last 12 months? If yes, is there a reason you haven't? Please choose all that apply.

    1. I don't want to move
    2. Can't sell house
    3. Can't afford to move

    1. Can't find an affordable place to live
    2. Family is here
    3. Need to find a new job

    1. Family reasons
    2. Other
23. Other, please specify
25. What are the barriers, if any that keep you from living in another part of your community?
    -- Select One --Cannot find a home that can accommodate my disabilityCan't afford to live anywhere elseDon't have a carDon't like the type of housing availableI don't want to live in another part of the communityMy race/ethnicityNo bus serviceNothingOther
27. Other, please specify
29. Have any of these expenses below prevented you from moving to a new home or apartment? Select all that apply.

    1. Down payment
    2. Application fees
    3. Security deposits

    1. First and last month's rent
    2. Moving expenses
    3. Utility connection fees

    1. Occupancy permit
    2. Pet fees
    3. Other
31. Other, please specify
33. Do you have a suggestion for a new or innovative program or service that could be offered in Snohomish County?
35. ***************** Demographic's *****************
37. Do you live in a City or in unincorporated Snohomish County?
    -- Select One --Alderwood ManorArlingtonArlington HeightsBrierCathcartDarringtonEdmondsEsperanceEverettFobes HillGoldbarGranite FallsHat IslandIndexLake BosworthLake GoodwinLake KetchumLake RoesigerLake StevensLochsloyLynnwoodMachiasMaltbyMartha LakeMarysvilleMill CreekMonroeMountlake TerraceMukilteoNorth CreekNorth MarysvilleOsoPriest PointSilvanaCity of SnohomishStanwoodStartupSultanThree LakesTulalipVerlotWarm BeachWoodwayUnincorporated Snohomish County
38. What zipcode do you live in?
40. Please mark the response under each heading that describes you best:
42. Age
    -- Select One --17 or younger18 - 2930 - 4445 - 6465 or older
43. Gender
    -- Select One --FemaleMaleOther
44. Race
    -- Select One --American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
45. Ethnicity
    -- Select One -- Hispanic or Latino or Spanish OriginNot Hispanic or Latino or Spanish Origin
47. Special Needs
    
    
    -- Select One --DisabledElderlyEx-offenderFoster youthHomeless VeteranNo special needs
48. Please indicate your annual family income
    -- Select One --Less than $9,999$10,000 - $14,999$15,000 - $24,999$25,000 - $34,999$35,000 - $49,999$50,000 - $79,999More than $80,000Would rather not disclose
50. Please tell us about your household living arrangements.
    -- Select One --One personSingle adult female with childrenSingle adult male with childrenTwo adults with childrenTwo adults with no childrenOther
52. Other, please explain
54. How many dependents (0 - 18 years old) live in your home?
55. Indicate the highest level of education you have completed:
    -- Select One --Grade schoolMiddle schoolSome high schoolHigh school diplomaGEDCertification programSome college2 - year degree4 - year degreeOver 4 - year degree Would rather not disclose
57. Additional comments?
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field