Permanent Home Survey

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* 1. Please complete the following-

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Are you an artist?

Yes

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* 3. Please indicate your primary art activities (Check a maximum of 2).

Dance

Music

Theater

Video

Visual Arts

Writer

Craft

Design

Film

Media Arts

Other (please specify)

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* 4. Please indicate your current employment status.

Full- time

Part-Time

Self-Employed

Retired

Student

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* 5. Where do you do most of your art-related work?

In a separate studio space that is connected to my living space

In a separate studio space that is located away from my living space

In an area shared with my living space

In a separate studio area shared with others

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* 6. Please indicate the square footage of your current studio/work space. If shared, estimate your share of the space.

Less than 99 sq. ft.

100-249 sq. ft.

250-499 sq. ft.

500-749 sq. ft

Above 1000 sq. ft.

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* 7. Do you currently rent or own your own studio/work space?

Rent

Own

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* 8. If you rent, please specify your monthly rent (column one). If living and work space are separated, check both column one and two, (remember it's the total you pay for the combined spaces). If you have live/work space combined, check column three.

	Living Space	PLUS Separate Work	OR Combined live/work
Under $499	Under $499 Living Space	Under $499 PLUS Separate Work	Under $499 OR Combined live/work
$500- $749	$500- $749 Living Space	$500- $749 PLUS Separate Work	$500- $749 OR Combined live/work
$750- $999	$750- $999 Living Space	$750- $999 PLUS Separate Work	$750- $999 OR Combined live/work
$1,000- $1,249	$1,000- $1,249 Living Space	$1,000- $1,249 PLUS Separate Work	$1,000- $1,249 OR Combined live/work
$1,250- $1,499	$1,250- $1,499 Living Space	$1,250- $1,499 PLUS Separate Work	$1,250- $1,499 OR Combined live/work
Above $1,500	Above $1,500 Living Space	Above $1,500 PLUS Separate Work	Above $1,500 OR Combined live/work

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* 9. ARTISTS SPACE PREFERENCE Which type of the following artist space are you seeking?

	RENT	OWN
Work Only Studio (a unit only used for art work)	Work Only Studio (a unit only used for art work) RENT	Work Only Studio (a unit only used for art work) OWN
Live/Work Housing (primary use is residential with commercial activity as secondary. A pleasant living environment for surrounding neighbors takes priority over commercial activity, E.G. loud machinery, etc.)	Live/Work Housing (primary use is residential with commercial activity as secondary. A pleasant living environment for surrounding neighbors takes priority over commercial activity, E.G. loud machinery, etc.) RENT	Live/Work Housing (primary use is residential with commercial activity as secondary. A pleasant living environment for surrounding neighbors takes priority over commercial activity, E.G. loud machinery, etc.) OWN
Work/Live Housing (primary use is commercial with residential as secondary. Needs of commercial activity, including walk-in trade, take priority over other living expectations.	Work/Live Housing (primary use is commercial with residential as secondary. Needs of commercial activity, including walk-in trade, take priority over other living expectations. RENT	Work/Live Housing (primary use is commercial with residential as secondary. Needs of commercial activity, including walk-in trade, take priority over other living expectations. OWN
Live/Work + Common Space (primary use is residential with a common space for exhibition/ rehearsal/ performance/ workshops, etc.)	Live/Work + Common Space (primary use is residential with a common space for exhibition/ rehearsal/ performance/ workshops, etc.) RENT	Live/Work + Common Space (primary use is residential with a common space for exhibition/ rehearsal/ performance/ workshops, etc.) OWN
Not interested at this time.	Not interested at this time. RENT	Not interested at this time. OWN

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* 10. What is the minimum square footage necessary for your studio/work space only? (Measured as Length times Width e.g. 10'W X 20"L= 200 sq.ft.)

None, other than what exists in my living space

Less that 299 sq. ft.

300-499 sq. ft.

500- 999 sq. ft.

1,000- 1,499 sq. ft.

1,500- 2,000 sq. ft.

Over 2,000 sq. ft.

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* 11. How much would you pay for ONLY studio/work space excluding utilities?

$200- $349

$350- $499

$500- $649

$650- $799

$800- $949

$950- $1,049

$1,050 +

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* 12. In thinking about your ideal STUDIO/work space, please indicate your NEEDS (rather than wish list) regarding the space itself. Check all that apply.

Special Electrical Wiring

High Ceilings

Elevator Access

Internet/WIFI

Loading Door

Natural Light

Reinforced Floors

Sprung Floors

Special Ventilation

Sound Proofing

Sound System

Utility Sink

Floor Drains

Additional Storage

Wheelchair Access

Special Plumbing

Wider Doorways

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* 13. Of the amenities listed below, which are essential for your work?

Video/Film Screening Room

Color Copies/ Office Equipment

Recording Studio

Classrooms

Kiln

Print Making Facilities

Rehearsal Space

Conference Room

General Purpose Studio Space

Gallery Space

Metal/Wood Shop

Theater/Performance Space

Sprung Dance Floor

Traditional/DigitalDarkroom

Paint Room

Outdoor Work Area

Retail Space

Glass Hot Shop

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* 14. Of the amenities you have selected, would you be willing to share these with others?

Yes

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* 15. How much do you want or need affordable housing?

Very Much

Somewhat

Not Much

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* 16. Does the idea of living and working in a building or a community specifically for artists appeal to you?

Yes

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* 17. What is your timeline for seeking new space?

Within 1 Year

Within 2 Years

Within 3 Years

Flexible

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* 18. DEMOGRAPHIC INFORMATION: How many people are in your household?

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* 19. Of these, how many people are children (less than 18 years old)? If no children, skip question 19

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* 20. What is your household's gross annual income? Please include all sources of income.

Less than $25,000

$25,001- $48,000

$48,001- $68,000

$68,001- $81,800

over $81,800

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* 21. What percentage of your income comes from you art or work involving art?

All

Less than 10%

10% - 24%

25%- 49%

50%- 74%

75%- 100%

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* 22. Please check the range that reflects your age group.

18-24

25-34

35-44

45-54

55-64

65+

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* 23. Would you be interested in-

Receiving information on this project

Volunteering for this project

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* 24. What is your ethnicity? (Please select all that apply.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic or Latino

White / Caucasian

Prefer not to answer

Other (please specify)

Permanent Home Survey

Please note all responses will be kept confidential; we will never share this information.

Question Title

* 1. Please complete the following-

Question Title

* 2. Are you an artist?

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* 3. Please indicate your primary art activities (Check a maximum of 2).

Question Title

* 4. Please indicate your current employment status.

Question Title

* 5. Where do you do most of your art-related work?

Question Title

* 6. Please indicate the square footage of your current studio/work space. If shared, estimate your share of the space.

Question Title

* 7. Do you currently rent or own your own studio/work space?

Question Title

* 8. If you rent, please specify your monthly rent (column one). If living and work space are separated, check both column one and two, (remember it's the total you pay for the combined spaces). If you have live/work space combined, check column three.

Question Title

* 9. ARTISTS SPACE PREFERENCE Which type of the following artist space are you seeking?

Question Title

* 10. What is the minimum square footage necessary for your studio/work space only? (Measured as Length times Width e.g. 10'W X 20"L= 200 sq.ft.)

Question Title

* 11. How much would you pay for ONLY studio/work space excluding utilities?

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* 12. In thinking about your ideal STUDIO/work space, please indicate your NEEDS (rather than wish list) regarding the space itself. Check all that apply.

Question Title

* 13. Of the amenities listed below, which are essential for your work?

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* 14. Of the amenities you have selected, would you be willing to share these with others?

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* 15. How much do you want or need affordable housing?

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* 16. Does the idea of living and working in a building or a community specifically for artists appeal to you?

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* 17. What is your timeline for seeking new space?

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* 18. DEMOGRAPHIC INFORMATION: How many people are in your household?

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* 19. Of these, how many people are children (less than 18 years old)? If no children, skip question 19

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* 20. What is your household's gross annual income? Please include all sources of income.

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* 21. What percentage of your income comes from you art or work involving art?

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* 22. Please check the range that reflects your age group.

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* 23. Would you be interested in-

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* 24. What is your ethnicity? (Please select all that apply.)

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* 25. How has/will S4A affect(ed) your artistic practice? Please write as much as you would like. (use the back of pages if needed).