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* 1. Are you a member of the Seneca Cayuga Nation?

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* 2. What state do you live in?

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* 3. What city do you live in?

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* 4. Check all that apply if any of your household members are:

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* 5. Including yourself, how many people live in your household?

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* 6. Would you describe your home as overcrowded?

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* 7. How many children under the age of 18 live in your household?

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* 8. How many adults in your household are currently employed?

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* 9. What is the current employment status of household members? Check all that apply

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* 10. What is your current housing situation?

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* 11. Do you currently reside in a home managed or owned by the Seneca Cayuga Nation?

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* 12. What type of home do you live in?

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* 13. How many bedroom are in your house?

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* 14. What year was your home built?

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* 15. What year did you (or first household member) move into your current home?

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* 16. What is your current mortgage or rent, EXCLUDING home heating cost, electricity, water, and sewer?

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* 17. What is your approximate annual household income? (Provide your best guess if unsure)

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* 18. Do you spend more than 30% of your household income towards housing costs? (Provide best guess if unsure)

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* 19. If you own your home, what is the approximate assessed value of your home? (Provide your best guess)

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* 20. Would you, or any member of your household, prefer to own a home but do not?

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* 21. If you, or household members living in your household unit, would prefer to own a home but do not, what are the obstacles? (mark all that apply)

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* 22. How much would you be willing to pay each month for housing ownership? (excluding home heating costs, electricity, water, sewer)

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* 23. What do you use primarily to heat your home?

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* 24. What is your average heating costs in a winter month (Oct-March)

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* 25. Please rate the overall condition of your home

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* 26. Does your home have issues with mold?

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* 27. How important are the follwing senior housing needs?

  High level of need/demand Medium level of demand/need Low level of Need or demand No need of demand at this time Actually we need less of this
More Senior Housing: Meaning smaller units like condos or cottages on a single level that allows independent seniors to not have stairs, and to not be responsible for upkeep
More Senior Housing: Meaning self contained living units for older adults who are able to care for themselves in a multi-unit or apartment building
Assisted Living Senior Housing for seniors who are no longer able to live on their own safely
More housing that Seniors can afford to live in

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* 28. How important are the following tribal housing needs in your community? Mark one circle per row

  High level of demand/need Medium level of demand/need Low level of demand/need No need or demand at this time Actually we need less of this
More affordable housing
Make current homes more energy efficient, reducing energy costs
Existing home renovations: Improve quality of existing homes
More rental units
More short term/Seasonal housing
More duplexes and apartments
Renovate Existing homes
Make current homes energy efficient
Make home sites available to build homes on
More single family homes
More one bedroom units/homes
More 2-3 bedroom units/homes
More 4+ bedroom units/homes

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* 29. What is the most important tribal priority for housing improvements in your community? Please rate in order of importance 1 = most important; 6 = least important

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* 30. Would you be willing to live in a small home (600-800 sq ft), duplex, or attached unti if it makes your housing payment more affordable?

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* 31. What type of housing program are you most interested in either now or in the future?

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* 32. Regardless of your housing situation now, would you prefer to rent or to own your home?

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* 33. Do you own land in your community? (apart from the land your home is on, of you own a home)

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* 34. How would you describe the most critical housing need or issue in your community?

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* 35. Comments or Suggestions?

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