Cortes Community Housing Survey

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* 1. Do you currently live on Cortes Island?

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?

Rent

Own

Other (please specify)

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

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?

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?

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?

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?

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)?

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?

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?

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?

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?

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?

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?

Yes

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

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:

Your First & Last Name

Postal Mailing Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number