Region 2 Housing Location Services Survey Housing Location Services Survey Question Title * 1. Name OK Question Title * 2. Organization’s Name OK Question Title * 3. Organization's Address OK Question Title * 4. Organization's City OK Question Title * 5. Organization's State OK Question Title * 6. Organization's Zip code OK Question Title * 7. Your Email OK Question Title * 8. Your Phone OK Question Title * 9. Type of Organization (check all that apply) Community Action Agency Community Services Board Developer Property Management Company Private Services Provider - Housing Counseling Private Services Provider - Case Management/support coordination Private Services Provider - Medicaid HCBS Waiver Provider Private Services Provider - Behavioral Health Service Provider Public Housing Agency Local Voucher Administrator Non-Profit Organization Real estate broker OK Question Title * 10. Check All Housing Location Services your agency offers to prospective renters: (Agencies may provide some or all of the following services. Please check all services your agency offers.) Conduct an initial interview to identify housing needs (accessibility, unit features/configurations, location, etc.) and customize housing searches; Assess housing barriers (credit, criminal, past evictions, etc.) and develop a plan to overcome them; Contact property management companies, real estate agents and private landlords to identify units on the market that meet the renter's needs and accept rent assistance; Provide outreach to educate current or prospective rental property managers that are unfamiliar with rent assistance about how subsidies work, what to expect (documentation, inspections, initial payments), steps in the process, etc; Inform prospective renters about available units that meet their needs and accept rent assistance so renters can arrange visits; Assist renters with preparing and submitting rental applications; Offer assistance with landlord negotiation; Provide transportation to and from housing related appointments; Negotiate timing of payments for holding fees, security deposits, first month’s rent, etc. with landlord; Help renters review lease terms to ensure they are fair and reasonable; Assist with writing and submitting reasonable accommodation requests to a potential landlord Not currently providing any of the housing location services but am willing to provide these services in the future None of the above Other (please specify) OK Question Title * 11. What populations are eligible for the housing location services you identified above? Individuals who are/have: Developmental Disabilities Ex-offenders Survivors of domestic violence HIV+/AIDS Homeless Housing Choice Voucher Recipients Low-income families Serious mental illness Substance use disorders Veterans None of the above Other (please specify) OK Question Title * 12. Which of following factors does your agency consider when determining eligibility to receive housing location services: Credit History Criminal History Employment Status Homelessness Income Residential History None of the above Other (please specify) OK Question Title * 13. How does your agency provide housing location services? Full-time designated staff member Services are integrated within other staff positions (e.g. case management) Not currently providing housing location services Other (please specify) OK Question Title * 14. In which jurisdictions does your agency offer housing location services? (check all that apply) Accomack Albemarle Alexandria Alleghany Amelia Amherst Appomattox Arlington Augusta Bath Bedford Bland Botetourt Bristol Brunswick Buchanan Buckingham Buena Vista Campbell Caroline Carroll Charles City Charlotte Charlottesville Chesapeake Chesterfield Clarke Colonial Heights Covington Craig Culpeper Cumberland Danville Dickenson Dinwiddle Emporia Essex Fairfax City Fairfax County Falls Church Fauquier Floyd Fluvanna Franklin City Franklin County Frederick Fredricksburg Galax Giles Glocester Goochland Grayson Greene Greenville Halifax Hampton Hanover Harrisonburg Henrico Henry Highland Hopewell Isle of Wright James City King and Queen King George King William Lancaster Lee Lexington Loudon Louisa Lunenberg Lynchburg Madison Manassas Manassas City Martinsville Mathews Mecklenberg Middlesex Montgomery Nelson New Kent Newport News Norfolk Northampton Northumberland Norton Nottoway Orange Page Patrick Petersburg Pittsylvania Poquoson Portsmouth Powhatan Prince Edward Prince George Prince William Pulaski Radford Rappahanock Richmond City Richmond County Roanoke City Roanoke County Rockbridge Rockingham Russell Salem Scott Shenandoah Smyth Southampton Spotsylvania Stafford Staunton Suffolk Surry Sussex Tazewell Virginia Beach Warren Washington Waynesboro Westmoreland Williamsburg Winchester Wise Wythe York OK Question Title * 15. Do the housing location services offered by your agency differ by locality? Yes No OK If your agency is currently providing any form of housing location services please complete questions 16-18. OK Question Title * 16. How many people are you able to provide housing location services to concurrently? 1 - 10 11-20 21-30 30+ OK Question Title * 17. In addition to the client base listed in the previous question, how many new people could you serve with housing location services given your current staffing? 0 1-10 11-20 21-30 30+ If greater than 30 please list how many may be served. OK Question Title * 18. How is your agency currently compensated for providing housing location services? (Check all that apply) Commission Fee for Service Pro-bono Sliding Scale Third party (e.g., cost of housing location is covered by another funding source such as billing to a grant, contract or insurance) OK DONE