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* 1. Do you currently live on Cortes Island?

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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. IF you currently live on Cortes, then which month (approximately) did you arrive? Choose one month only:

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* 4. Do you rent OR own your current home/accommodation? 

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

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* 6. How many bedrooms does your current accommodation have?

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* 7. What is your preferred number of bedrooms?

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* 8. What is the approximate Square Footage of your current home?  

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

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* 10. 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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* 11. 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?

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

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* 14. How many adults over the age of 55 are in your family unit?

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

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

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

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* 18. 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?

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* 19. 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?

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* 20. 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?

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* 21. 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?

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

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

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* 24. Please enter your contact information:

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