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* 1. What is your Street Name and Zip Code? 

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* 2. Please select which one best describes your housing situation

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* 3. Have you ever experienced any of the following housing insecurity issues?

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* 4. Have you ever contacted Code Enforcement or a City of Elmira official about issues or concerns in your own housing or renal unit?

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* 5. Have you ever wanted to contact Code Enforcement or City of Elmira about safety issues in your own rental unit but didn't because you were afraid of retaliation by your landlord?

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* 6. Would you know whom to contact if you need assistance with the following?

  Yes No
Rental Assistance
Finding Employment
Applying for Public Assistance
Resolving a landlord dispute
Legal assistance

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* 7. Are you interested in attending classes or training about Rental Rights and Responsibilities

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* 8. Thinking about your neighborhood what is causing residents to be displaced, homeless or lacking in a safe and secure housing environment?

  I have no idea Probably not a factor  Yes, somewhat of a factor Definitely, a huge factor
Substandard rental housing
Addiction struggles
Mental health struggles
Poverty and or unemployment
Criminal background
Properties shut-down by Code

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* 9. Comments

0 of 9 answered
 

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