Housing Need Survey for Long Whatton & Diseworth Part 1: General information Question Title * 1. How long have you lived in this parish? Less than 1 year 1 - 3 years 3 - 5 years 5 years or more Question Title * 2. Which category best describes your household? (Please tick one box) Single person People sharing a home but not related Couple without children Family household with dependant children under the age of 18 Family household with adult children over the age of 18 Family household with adult and dependant children Other (please specify) Question Title * 3. Please complete the table below for all those currently living in your household. Male/Female Age Relationship to you (e.g. husband, daughter etc) You Male Female You Male/Female menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 You Age menu Husband Wife Son Daughter Step son Step daughter Foster son Foster daughter Partner Grandson Granddaughter Mother Father Sibling Relative Friend Other You Relationship to you (e.g. husband, daughter etc) menu Person 2 Male Female Person 2 Male/Female menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Person 2 Age menu Husband Wife Son Daughter Step son Step daughter Foster son Foster daughter Partner Grandson Granddaughter Mother Father Sibling Relative Friend Other Person 2 Relationship to you (e.g. husband, daughter etc) menu Person 3 Male Female Person 3 Male/Female menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Person 3 Age menu Husband Wife Son Daughter Step son Step daughter Foster son Foster daughter Partner Grandson Granddaughter Mother Father Sibling Relative Friend Other Person 3 Relationship to you (e.g. husband, daughter etc) menu Person 4 Male Female Person 4 Male/Female menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Person 4 Age menu Husband Wife Son Daughter Step son Step daughter Foster son Foster daughter Partner Grandson Granddaughter Mother Father Sibling Relative Friend Other Person 4 Relationship to you (e.g. husband, daughter etc) menu Person 5 Male Female Person 5 Male/Female menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Person 5 Age menu Husband Wife Son Daughter Step son Step daughter Foster son Foster daughter Partner Grandson Granddaughter Mother Father Sibling Relative Friend Other Person 5 Relationship to you (e.g. husband, daughter etc) menu Person 6 Male Female Person 6 Male/Female menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Person 6 Age menu Husband Wife Son Daughter Step son Step daughter Foster son Foster daughter Partner Grandson Granddaughter Mother Father Sibling Relative Friend Other Person 6 Relationship to you (e.g. husband, daughter etc) menu Question Title * 4. Which of the following best describes your current home? Own your own home outright Own your home with a mortgage Renting from the council Renting from a housing association Shared ownership (part rent, part buy) Renting from a private landlord Living with parents or relatives In housing tied to your job Lodging with another household Caravan or other mobile structure Other (please specify) Question Title * 5. What type of home do you live in and how many bedrooms do you have? House Bungalow Flat Other 1 Bedroom 1 Bedroom House 1 Bedroom Bungalow 1 Bedroom Flat 1 Bedroom Other 2 Bedroom 2 Bedroom House 2 Bedroom Bungalow 2 Bedroom Flat 2 Bedroom Other 3 Bedroom 3 Bedroom House 3 Bedroom Bungalow 3 Bedroom Flat 3 Bedroom Other 4 Bedroom 4 Bedroom House 4 Bedroom Bungalow 4 Bedroom Flat 4 Bedroom Other 5 Bedroom 5 Bedroom House 5 Bedroom Bungalow 5 Bedroom Flat 5 Bedroom Other 6+ Bedrooms 6+ Bedrooms House 6+ Bedrooms Bungalow 6+ Bedrooms Flat 6+ Bedrooms Other Next