Culpeper Affordable Housing Survey

Culpeper Town and County government agencies are collecting information about housing from residents as part of a community-wide affordable housing needs assessment. Thank you for taking the time to complete this survey.

There is no identifiable information on this survey and all answers are confidential.

1. Which type of housing best describes your current living situation?

Which type of housing best describes your current living situation? Own or rent a single-family home, townhouse, duplex or apartment

Own or rent a trailer (mobile home)

Staying in motel or hotel

Staying in an automobile

Staying in a camper or RV

Staying with family or friends in their home

2. How many persons are with you in your current living situation at least 5 nights per week?
(Include all adults and children)

How many persons are with you in your current living situation at least 5 nights per week? (Include all adults and children) I live alone

2-4 persons

5-6 persons

7-8 persons

9 or more persons

3. How many adults over age 60 (include yourself) are with you in your current living situation at least 5 nights per week?

How many adults over age 60 (include yourself) are with you in your current living situation at least 5 nights per week? Zero (0)

Only one (myself)

Two (2)

Three (3)

Four (4)

Five (5)

Six or more (6+)

4. How many persons under age 18 are with you in your current living situation at least 5 nights per week?

How many persons under age 18 are with you in your current living situation at least 5 nights per week? Zero (0)

One (1)

Two (2)

Three (3)

Four (4)

Five (5)

Six or more (6+)

5. What is your estimated average gross household income per month?

What is your estimated average gross household income per month? Zero dollars per month

$1 - $600 per month

$601 - $1,200 per month

$1,201 - $1,500 per month

$1,501 - $1,900 per month

$1,901 - $2,400 per month

$2,401 - $3,000 per month

$3,000 or higher per month

6. How much do you pay in rent or mortgage for your current living situation?

How much do you pay in rent or mortgage for your current living situation? Zero - I do NOT pay any rent or have a mortgage payment

$1 - $600 in rent or mortgage per month

$601 - $999 in rent or mortgage per month

$1,000 - $1,600 in rent or mortgage per month

$1,601 - $2,000 in rent or mortgage per month

7. How many times have you moved in the last 12 months due to eviction, foreclosure or the costs of housing where you lived were too high, forcing you to move?

How many times have you moved in the last 12 months due to eviction, foreclosure or the costs of housing where you lived were too high, forcing you to move? I have NOT moved for any of those reasons in the last 12 months

I have moved once for those reasons in the last 12 months

I have moved two times for those reasons in the last 12 months

I have moved three times for those reasons in the last 12 months

I have moved four times for those reasons in the last 12 months

8. Please tell us how you heard about the survey?

Please tell us how you heard about the survey? Culpeper County Public School System

Town or County Website

RRRC Website

Culpeper Department of Social Services

Culpeper Career Resource Center

Link from an email I received

Link from a newspaper posting

Aging Together

Other (please specify)

Thank you for taking time to complete the survey. If you would like more information, please contact Jenny Biche' at (540) 829-7450 or at jkbiche@rrregion.org or visit www.rrregion.org.

Culpeper Affordable Housing SurveyExit this survey

Culpeper Affordable Housing Survey
Exit this survey