Cortes Community Housing Survey

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1. Do you currently live on Cortes Island? (Required.)

Yes

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2. IF you answered YES to the above question, then which year did you arrive on Cortes Island? Enter 4 digit year, for example 2008:

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3. Do you rent OR own your current home/accommodation? (Required.)

Rent

Own

Other (please specify)

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4. What type of accommodation do you live in? (Required.)

House, Cottage, or Cabin

Apartment or Condo

Suite (separate cooking facilities) in a house

Room (shared kitchen) in a house

Tiny (portable) Home

RV or Camper/Trailer

Tent

Boat

Other (please specify)

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5. How many bedrooms does your current accommodation have? (Required.)

Other (please specify) For example an open loft is also used as an extra bedroom:

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6. What is your preferred number of bedrooms? (Required.)

1.5 (with den)

2.5 (with den)

3.5 (with den)

Other (please specify)

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7. What is the approximate Square Footage of your current home? (Required.)

Less than 500 square feet

Between 501-800 square feet

Between 801-1000 square feet

Between 1001-1500 square feet

More than 1500 square feet

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8. If you RENT, how much do you currently pay per month? If you OWN skip to question #11.

$0 to $500 per month

$501 to $700 per month

$701 to $900 per month

$901 to $1100 per month

More than $1101 per month

Prefer not to say

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9. If you OWN skip to question #11. If you RENT, which utilities are included in your rent? Choose one OR more:

Hydro (electricity for appliances, light, heat, etc.)

Propane (cooking, refrigeration, heat)

Oil (for heating)

Firewood (for heating)

Water

Phone

Internet

Trash/Recycling Pick-up

Other (please specify)

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10. Would you like to be on the WAIT LIST for future year-round RENTAL Family Housing (for singles, couples, and those with children) in this new Manson’s Landing location? (Required.)

Yes

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11. If you are currently OVER the age of 55, would you like to be on the WAIT LIST for future year-round RENTAL Senior’s Housing in Manson’s Landing ?

Yes

I am currently UNDER the age of 55, this question is not applicable to me.

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12. What is the total number of persons in your existing family unit (including adults and/or children)? (Required.)

1 (you just need housing for yourself)

2 (you need housing for yourself and a partner or child)

3 (you need housing for yourself and 2 other adults or children)

4 persons

5 persons

6 (or more persons)

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13. How many adults over the age of 55 are in your family unit? (Required.)

Other (please specify)

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14. IF you have any special health requirements, please choose all that apply. If NOT, then skip to next question.

Mobility Challenges require NO stairs

Wheel chair access

In-home medical care

Assisted living required with in-home meals & medical care

Other (please specify)

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15. In the future, can you imagine being interested in assisted living (with meals & medical support provided) for yourself or a family member? (Required.)

Yes

Maybe

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16. State your age (or the age of the eldest person in your household):

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17. Would you like to be notified IF there was a future option to PURCHASE a lot and build your own home (rather than rent) in this new Manson’s Landing neighborhood? (Required.)

Yes

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18. Would you like to be notified IF there was a future option to PURCHASE a pre-built affordable home (rather than rent) in this new Mansons Landing neighbourhood, knowing that monthly costs would likely be higher? (Required.)

Yes

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19. Would you like to be notified IF there was a future option to LEASE a year-round spot with power, water, septic hook-ups and BRING or BUILD your own tiny-portable home (rather than rent) in this new Manson’s Landing neighborhood? (Required.)

Yes

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20. Would you like to be notified IF there was a future option to LEASE or RENT a SEASONAL summer camping spot (to bring your own tent or trailer) with communal access to water and shared sanitary facilities in this new Manson’s Landing neighborhood? (Required.)

Yes

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21. Your approximate household combined family's GROSS pre-tax annual income based on previous tax year? (Required.)

Less than $30,000 per year

Between $30,000 and $69,000 per year

Between $70,000 and $99,000 per year

More than $100,000 per year

Prefer not to say

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22. Your suggestions, comments, questions & ideas on the topic of creating new affordable year-round housing options on Cortes?

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23. Please enter your contact information: (Required.)

Your First & Last Name

Postal Mailing Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 1. Do you currently live on Cortes Island? (Required.)

Question Title

* 2. IF you answered YES to the above question, then which year did you arrive on Cortes Island? Enter 4 digit year, for example 2008:

Question Title

* 3. Do you rent OR own your current home/accommodation? (Required.)

Question Title

* 4. What type of accommodation do you live in? (Required.)

Question Title

* 5. How many bedrooms does your current accommodation have? (Required.)

Question Title

* 6. What is your preferred number of bedrooms? (Required.)

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* 7. What is the approximate Square Footage of your current home? (Required.)

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* 8. If you RENT, how much do you currently pay per month? If you OWN skip to question #11.

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* 9. If you OWN skip to question #11. If you RENT, which utilities are included in your rent? Choose one OR more:

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* 10. Would you like to be on the WAIT LIST for future year-round RENTAL Family Housing (for singles, couples, and those with children) in this new Manson’s Landing location? (Required.)

Question Title

* 11. If you are currently OVER the age of 55, would you like to be on the WAIT LIST for future year-round RENTAL Senior’s Housing in Manson’s Landing ?

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* 12. What is the total number of persons in your existing family unit (including adults and/or children)? (Required.)

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* 13. How many adults over the age of 55 are in your family unit? (Required.)

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* 14. IF you have any special health requirements, please choose all that apply. If NOT, then skip to next question.

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* 15. In the future, can you imagine being interested in assisted living (with meals & medical support provided) for yourself or a family member? (Required.)

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* 16. State your age (or the age of the eldest person in your household):

Question Title

* 17. Would you like to be notified IF there was a future option to PURCHASE a lot and build your own home (rather than rent) in this new Manson’s Landing neighborhood? (Required.)

Question Title

* 18. Would you like to be notified IF there was a future option to PURCHASE a pre-built affordable home (rather than rent) in this new Mansons Landing neighbourhood, knowing that monthly costs would likely be higher? (Required.)

Question Title

* 19. Would you like to be notified IF there was a future option to LEASE a year-round spot with power, water, septic hook-ups and BRING or BUILD your own tiny-portable home (rather than rent) in this new Manson’s Landing neighborhood? (Required.)

Question Title

* 20. Would you like to be notified IF there was a future option to LEASE or RENT a SEASONAL summer camping spot (to bring your own tent or trailer) with communal access to water and shared sanitary facilities in this new Manson’s Landing neighborhood? (Required.)

Question Title

* 21. Your approximate household combined family's GROSS pre-tax annual income based on previous tax year? (Required.)

Question Title

* 22. Your suggestions, comments, questions & ideas on the topic of creating new affordable year-round housing options on Cortes?

Question Title

* 23. Please enter your contact information: (Required.)

1. Do you currently live on Cortes Island? (Required.)

2. IF you answered YES to the above question, then which year did you arrive on Cortes Island? Enter 4 digit year, for example 2008:

3. Do you rent OR own your current home/accommodation? (Required.)

4. What type of accommodation do you live in? (Required.)

5. How many bedrooms does your current accommodation have? (Required.)

6. What is your preferred number of bedrooms? (Required.)

7. What is the approximate Square Footage of your current home? (Required.)

8. If you RENT, how much do you currently pay per month? If you OWN skip to question #11.

9. If you OWN skip to question #11. If you RENT, which utilities are included in your rent? Choose one OR more:

10. Would you like to be on the WAIT LIST for future year-round RENTAL Family Housing (for singles, couples, and those with children) in this new Manson’s Landing location? (Required.)

11. If you are currently OVER the age of 55, would you like to be on the WAIT LIST for future year-round RENTAL Senior’s Housing in Manson’s Landing ?

12. What is the total number of persons in your existing family unit (including adults and/or children)? (Required.)

13. How many adults over the age of 55 are in your family unit? (Required.)

14. IF you have any special health requirements, please choose all that apply. If NOT, then skip to next question.

15. In the future, can you imagine being interested in assisted living (with meals & medical support provided) for yourself or a family member? (Required.)

16. State your age (or the age of the eldest person in your household):

17. Would you like to be notified IF there was a future option to PURCHASE a lot and build your own home (rather than rent) in this new Manson’s Landing neighborhood? (Required.)

18. Would you like to be notified IF there was a future option to PURCHASE a pre-built affordable home (rather than rent) in this new Mansons Landing neighbourhood, knowing that monthly costs would likely be higher? (Required.)

19. Would you like to be notified IF there was a future option to LEASE a year-round spot with power, water, septic hook-ups and BRING or BUILD your own tiny-portable home (rather than rent) in this new Manson’s Landing neighborhood? (Required.)

20. Would you like to be notified IF there was a future option to LEASE or RENT a SEASONAL summer camping spot (to bring your own tent or trailer) with communal access to water and shared sanitary facilities in this new Manson’s Landing neighborhood? (Required.)

21. Your approximate household combined family's GROSS pre-tax annual income based on previous tax year? (Required.)

22. Your suggestions, comments, questions & ideas on the topic of creating new affordable year-round housing options on Cortes?

23. Please enter your contact information: (Required.)