Home for Good - Tell your story

1.

Thank you for taking the time to complete this survey. All answers will be kept confidential. The survey responses will help us communicate to policy makers how the housing crisis is affecting our community. Responses will be used to call for policy changes that improve foreclosure prevention, homeownership opportunities and affordable housing initiatives.

1. All information in this survey is confidential.

All information in this survey is confidential. Name:
Company:
Address:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

2. Has the housing crisis in the US affected you, your friends, or family in the following areas?

	Yes	No
Trouble getting a mortgage to buy a new home	*Has the housing crisis in the US affected you, your friends, or family in the following areas? Trouble getting a mortgage to buy a new home Yes	Trouble getting a mortgage to buy a new home No
Challenges receiving help through foreclosure prevention programs	Challenges receiving help through foreclosure prevention programs Yes	Challenges receiving help through foreclosure prevention programs No
Difficulty obtaining affordable rental options	Difficulty obtaining affordable rental options Yes	Difficulty obtaining affordable rental options No

3. If yes, can you please describe how it has affected you?

If yes, can you please describe how it has affected you?

4. Can we contact you for more information about your experience?

Can we contact you for more information about your experience? Yes