The County of Contra Costa and the cities of Antioch, Concord, Pittsburg, and Walnut Creek, as well as the Housing Authorities of Contra Costa County, Pittsburg, and Richmond, are currently conducting a fair housing study known as the “Assessment of Fair Housing” (AFH).
As part of this study, we are asking for the opinions of stakeholders and residents throughout the county. You are being invited to take part in this survey to tell us about your opinions and experiences regarding housing in the county.

Your answers are anonymous and will only be reported in a compilation with other responses. Thank you for your time. Please check the appropriate box or provide an answer in the blank space.

* 1. What is the name of your city? What is the name of your neighborhood (if applicable)?

* 2. In what ZIP code is your home located?

Your Neighborhood

* 3. Which of the following best describes the type of housing you currently live in? (Choose only one)

* 4. How long have you lived in your current housing?

* 5. If less than 5 years, where did you previously live? Why did you move?

* 6. How long have you lived in your neighborhood?

* 7. If you live in subsidized/assisted housing, please say what type:

* 8. If you are currently living in public housing or another kind of government-assisted housing, what is the name of your housing development?

* 9. Which of the following are the most important reasons you decided to live in your neighborhood? (Check all that apply)

* 10. If you had a choice, would you continue to live in your city or neighborhood?

Your Housing

* 13. Do you currently rent your home, own your home, share a room, or something else? (Check all that apply)

* 14. How satisfied would you say you are with how well maintained the housing you currently live in is (the building is clean, healthy, and safe)?

* 15. In the past five years has your rent been paid by a rental assistance program?

* 16. If you answered 'Yes' to Question 15, have you ever had difficulty using that rental assistance?

* 17. If you have used a Housing Choice Voucher (portable “Section 8”), how much difficulty have you had finding a landlord to rent to you with the voucher?

* 18. During the past three (3) years, has the overall housing cost of your current home changed?

* 19. What do you think about the affordability of the housing in your neighborhood? (Check all that apply.)

* 20. In the past five years, how has the affordability of housing in your neighborhood changed? (Check all that apply.)

* 21. Have you been displaced (had to move when you didn’t want to) from your housing within the last 10 years?

* 22. If you answered 'Yes' to Question 21, was this because the property was:

* 23. If you answered 'Yes' to Question 21, did you have trouble finding safe, quality housing that you could afford in a neighborhood you would like to live in?

* 24. During the past five years, have you looked for a new place to live?

* 25. If you answered 'Yes' to Question 23, do you think it was because of any of the following: (Check all that apply)

* 26. Do you believe that you have been discriminated against in your current housing because of any of the following? (Check all that apply)

* 27. If you have ever been discriminated against by your landlord, did you complain?

* 28. Were you satisfied with the outcome?

* 29. If you ever filed a fair housing complaint with an agency/department, which one? (Check all that apply)

* 30. What was the outcome of informing or complaining to an agency/department about your fair housing issues?

* 31. If you were discriminated against, but did not file a complaint, why not?

* 32. During the past five years, have you applied for a loan to purchase a home, to refinance your mortgage, or to take equity out of your home?

* 33. Was the application(s) you made during the past five years approved?

* 34. If you have ever applied for a home loan and your application was NOT approved, which of the following reasons were you given? (Check all that apply)

* 35. If you are a homeowner, did you purchase your home using downpayment assistance?

* 36. Which of the following issues, if any, limited the housing options you were able to consider? (Check all that apply)

* 37. If you answered 'Yes' to question 35, what difference did having the downpayment assistance make for you?

About You & Your Household

* 38. What is your age?

* 39. How many people live in your household?

* 40. How many people under 18 years of age live in your household?

* 41. Are you, or someone else in your household, living with a disability?

* 42. Are there any problems within your home that create any physical/accessibility issues for yourself or a family member?

* 43. Are you aware of your right to request, from your landlord, a change in rules or policies and your right to request a physical change to your housing to make your home more accessible if necessary due to a disability (called reasonable accommodation)?

* 44. Have you made a request for a reasonable accommodation and/or modification to your landlord?

* 45. If yes, what type of accommodation and/or modification did you request?

* 46. What was the outcome of your accommodation and/or modification request?

* 47. Were you satisfied with the outcome of your accommodation and/or modification request?

* 48. If you are a homeowner or developer, are you aware of your right to request a reasonable accommodation involving land use zoning

* 49. What is the highest level of school that you have completed?

* 50. Which of the following describes your current status? (Choose one)

* 51. Have you ever been homeless?

* 52. If yes, what led to your homelessness?

* 53. What is the primary language you use at home?

* 54. If you requested your lease agreement or other important documents in your primary language were they provided?

* 55. Have you been able to easily communicate with your landlord? 

* 56. Do you consider yourself Hispanic, Latino, Latina, or of Spanish origin?

* 57. What is your race? (Check all that apply)

* 58. What is your current gender identity?

* 59. What was your household income (people living in the same household) in 2017?

* 60. If you had to guess, what percent of the people in your neighborhood do you think are the same race as you?

* 61. If you had to guess, what percentage of the people in your neighborhood do you think are the same ethnicity (e.g, of Hispanic or not of Hispanic origin) as you?

* 62. The information you share with us is anonymous. While this is completely optional, you may also provide your name, email, and phone number.