Bellingen Shire Housing Needs Survey DEMOGRAPHICS / GENERAL INFORMATION QUESTIONS Question Title * 1. What is your age bracket? Up to 14 years 15 - 24 years 25 – 34 years 35 - 44 years 45 - 54 years 55 - 64 years 65 - 74 years 75+ years Question Title * 2. What is your gender? Female Male Other Prefer not to say Question Title * 3. Where do you currently live (most of the time)? Bellingen Dorrigo & Plateau Urunga Mylestom Kalang Thora Raleigh Repton Brierfield Glennifer Other (please specify) Question Title * 4. Which best describes your household type? (tick all applicable) Single person, living alone Single person, living with one or more children Couple, living without children Couple, living with one or more children Extended/multigenerational family Adult with child(ren) part of the time Sharehouse – a group of unrelated adults Fluctuating depending on needs of friends and family Other (please specify) Question Title * 5. What is your current housing situation? Renting through formal written tenancy agreement Informal tenancies (unwritten or partly written) Owning with a mortgage Owning without a mortgage Homeless (includes couch surfing, rough sleeping, camping, living in vehicle etc.) Other e.g. work exchange arrangements (please specify) Question Title * 6. How long have you lived in your current housing situation? Less than 3 months 3-6 months 6-12 months 1-3 years 3+ years Question Title * 7. If you have a formal or informal lease agreement or private arrangement, how long can you stay in your current housing situation? Less than 3 months 3-6 months 6-12 months 1-3 years + 3 years Unknown Not Applicable - no in a rental situation Other (please specify) Question Title * 8. How long have you lived in the area? Less than 2 years 2 - 5 years 5 - 10 years 10+ years Used to live here and have recently returned Question Title * 9. Are you on the social / community housing waiting list? Yes No Not sure Other (please specify) Next