The Nest, Niagara Falls - Community Services for Every1 Survey

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* 1. I'd like to be informed about the progress of development, this is my contact information.

Name

Company

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. What age group do you belong to?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

I'd prefer not to disclose

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* 3. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

I prefer not to disclose

Another race or ethnicity, please describe below

Self-describe below:

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* 4. Are you looking for affordable housing for you and/or your family?

Yes

Comment

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* 5. Check all that you represent:

A Niagara Falls Community Member

Representative from a Community Organization (Religious, Non-Profit, Healthcare)

Representative from a local Business (Hotel, Restaurant, Retail)

Representative from a Community Group such as a Block Club or Neighborhood Watch

Public Official in Niagara Falls

Rather not say

Other (please specify)

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* 6. What are your biggest concerns, if any, about your own housing situation.

No Concerns

The unaffordability of my housing

The quality of my housing

The safety and security of my housing

Availability

If you are responding on behalf of an organization, public official or business, please comment on your concerns, if any:

Question Title

* 7. Having affordable housing in Niagara Falls means to me. (Check all that apply)

Having housing you can afford

Having quality/clean/livable housing

Having safe/secure housing

A sense of community

Having income left over to cover utilities, daycare, food and recreation

I grew up here, it is home. I want to stay in my city.

School for my children

Access to job opportunities

Having the support of a provider within my housing situation, i.e. Domestic Violence Services, OPWDD Services, Health Home, Case Management, Landlord on site

Other (please specify)

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* 8. When it comes to housing, do you currently

Rent

OWN

Homeless

Does not apply to me

Other (please specify)

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* 9. Do you have any questions or concerns related to the proposed project? Is there anything you'd like to see incorporated into the development?

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* 10. Check all that are important to you in your role. (Check all that apply)

Pre-Vocational/Vocational Services for someone who has a disability (OPWDD)

Habilitation Services for someone who has a disability (OPWDD)

Community Education

Support for Survivors of Domestic Violence

Housing

Other (please specify)

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* 11. What city or town to you work in?

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* 12. How satisfied are you with your current housing?

Very satisfied

Satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Dissatisfied

Very dissatisfied

Question does not apply to me

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* 13. If you were to move, how many bedrooms do you need?

One Bedroom

Two Bedrooms

Studio

Three or More Bedrooms

Does not apply to me

The Nest, Niagara Falls - Community Services for Every1

Community Input!

Question Title

* 1. I'd like to be informed about the progress of development, this is my contact information.

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* 2. What age group do you belong to?

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* 3. What is your race or ethnicity?

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* 4. Are you looking for affordable housing for you and/or your family?

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* 5. Check all that you represent:

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* 6. What are your biggest concerns, if any, about your own housing situation.

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* 7. Having affordable housing in Niagara Falls means to me. (Check all that apply)

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* 8. When it comes to housing, do you currently

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* 9. Do you have any questions or concerns related to the proposed project? Is there anything you'd like to see incorporated into the development?

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* 10. Check all that are important to you in your role. (Check all that apply)

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* 11. What city or town to you work in?

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* 12. How satisfied are you with your current housing?

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* 13. If you were to move, how many bedrooms do you need?

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* 14. If you can improve one thing about your current housing what would it be?

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* 15. What is your career/profession/employment status?

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* 16. Other Comments: