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HIV Community Housing Planning Group

The HIV Community Housing Planning Group appreciates your time and assistance with this housing needs assessment. All information is anonymous and confidential. Please take two minutes and complete this survey. The information gathered will assist in making data-informed recommendations for improving housing access for people throughout our community. 

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* 1. Have you applied for housing services in the last 24 months?

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* 2. Please select what form(s) of housing assistance would be most beneficial for your situation:

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* 3. Please select the type of housing that would meet your needs? (Select up-to  2 options)

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* 4. Please list any additional housing needs that would assist you the best (i.e., Access to MARTA bus/rail line, wheel-chair access, access to green space)

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* 5. Are you able to access transportation options (car, ride-shares, MARTA)?

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* 6. Do you have a source of income?

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* 7. What is your total household income? 

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* 8. In the past five years, have you gone through an eviction or a judgement against you?

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* 9. Have you ever been convicted of a felony?

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* 10. Please provide your current zip code?

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