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* 1. In what city or county are you or your organization located?

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* 2. If you are representing an organization, which of the following best represents your service area?

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* 3. Are you or your organization a member of the Virginia Housing Coalition?

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* 4. Are you or your organization a member of the Virginia Coalition to End Homelessness?

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* 5. Please rate your level of involvement with the Virginia Housing Coalition on a scale of 1 to 5 with 1 being "minimally involved" and 5 being "extremely involved".

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* 6. Please rate your level of involvement with the Virginia Coalition to End Homelessness on a scale of 1 to 5 with 1 being "minimally involved" and 5 being "extremely involved".

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* 7. Which of the following best describes your affiliation? Check one.

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* 8. Here is a list of issues that are important to affordable housing and homeless advocates. Please rate on a scale of 1-5 how important each issue is to you with 1 being "not important" and 5 being "extremely important."

  1 (Not important) 2 3 4 5 (Extremely important)
Accessibility for people with disabilities
Ending homelessness
Expansion of rent assistance (vouchers and others)
Fair Housing
Homeless response systems change
Housing First
Housing for veterans
Housing for youth
Housing for people with mental illness
Housing for families with children
Housing for elderly people
Housing for victims of domestic violence
Housing for youth aging out of foster care
Permanent Supportive Housing
Preservation of public and assisted housing
Preservation of rent assistance (vouchers and other)
Production of housing for homeownership
Rapid re-housing
Rehabilitation of owner occupied housing
Rehabilitation of rental housing
Rental housing production
Supportive services in housing

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* 9. Here is a list of activities and programs that either the Virginia Housing Coalition or the Virginia Coalition to End Homelessness has done. Please rate on a scale of 1 to 5 how important each activity or program is to you with 1 being "not important" and 5 being "extremely important".

  1 (Not important) 2 3 4 5 (Extremely important)
Advocacy on homelessness with federal agencies (HUD, HHS, VA, USICH, White House)
Advocacy on homelessness with state agencies (DHCD, DVS, VHDA, DBHDS, DSS)
Advocacy on homelessness with the U.S. Congress
Advocacy on homelessness with the Virginia General Assembly
Advocacy on affordable housing with federal agencies (HUD, USDA, Treasury, White House)
Advocacy on affordable housing with state agencies (DHCD, VHDA, DBHDS)
Advocacy on affordable housing with the U.S. Congress
Advocacy on affordable housing with the Virginia General Assembly
Awards and recognition of achievement
Communication with members about federal policy
Communication with members about state policy
Conferences, such as the Permanent Supportive Housing and Tax Credit Conferences
Facilitating peer exchange opportunities
Information about homeless issues, trends, and best practices
Information about housing issues, trends, and best practices
Local partner meetings
One day single issue summits, such as on ending veteran homelessness
Regional listening sessions
Reports, such as Home Matters and The State of Permanent Supportive Housing in the Commonwealth
Serve as intermediary for AmeriCorps/ National Service Programs/ VISTA
Technical assistance, training, and capacity building

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* 10. Please list what you think are potential advantages of VHC and VCEH being one organization.

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* 11. Please list what you think are potential disadvantages of VHC and VCEH being one organization.

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* 12. Would you consider being a member of the newly- formed organization?

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* 13. Other comments?

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