Housing Navigator MA: Housing Search Pre-Survey

Thank you for your interest in providing us feedback. We require some basic information to determine whether you are eligible for a user interview and/or survey, which will be centered on online housing search.

The information you provide in the screener will not be shared.

If you are eligible, we will send you the survey link or interview schedule to the provided email address. Thank you!

1.What is your age range?

Under 18

18-24

25-34

35-44

45-54

55-64

65 and over

2.How many people live in your household?
(A household consists of one or several persons who live in the same dwelling)

6 or more

3.What is your current 5-digit zipcode?

4.Are you a service provider or housing search specialist?

Yes

Other (please specify)

5.What is your gender identity and/or expression?

Male

Female

Gender Non-binary or Genderqueer

Transgender

Other (please specify)

6.What is your current household income?

Under $20,000

$20,000-$40,000

$40,000-$60,000

$60,000-$80,000

$80,000-$100,000

$100,000-$150,000

$150,000 and above

7.How would you describe yourself?

Alaska Native, American Indian, Indigenous American, or Native American

Mixed Race

Black, African American, African, or African Descent

White or European Descent

Asian, Asian American, East Asian, South Asian, or South East Asian

Native Hawaiian or Other Pacific Islander

Latina/o/x, Chicana/o/x, or Hispanic American

Arab American, Middle Eastern, or North African

Other (please specify)

8.What languages do you mainly speak at home?

English

Spanish

Chinese (including Mandarin and Cantonese)

Vietnamese

Portuguese

Haitian Creole

Russian

Other (please specify)

9.Do you have an accessibility need that would need housing accomodations?

Yes

Other (please specify)

10.Do you currently have a housing voucher?

Yes

Other (please specify)

*11.What is your email address?(Required.)

*12.What type of feedback are you interested in? (Choose all that apply)(Required.)

Virtual conversation (30 minutes, questions asked via a Zoom call, $50 gift card after completion)

In-person conversation (30 minutes, questions asked in-person, $50 gift card after completion)

Feedback survey (15 minutes, sent via email address, $25 gift card after completion)

Other (please specify)

*13.What does 2 + 2 = ?(Required.)

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