Harvey Needs Assessment Question Title * 1. Were you living in Aransas County during August 2017? Yes No Question Title * 2. Applicant Information Name * Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country Email Address * Phone Number * Question Title * 3. How long have you lived at this address? Question Title * 4. How would you describe your living situation prior to Harvey? Home owner Renter Other (please specify) Question Title * 5. Do you currently live in Aransas County? Yes No Question Title * 6. What is your total monthly household income for all members of your household? Question Title * 7. How many people live in your home? Question Title * 8. Which of the following best describes your need? I need a new home built. I need repairs for my home. Other (please specify) Question Title * 9. Please provide a detailed description of your housing issue. Question Title * 10. What challenges have prevented you from making the necessary repairs to your home? Done