Telephone Follow-Up
Community Member Responses
Tribal Organization:
City/State:
Interviewer Name:
Date Interview Completed:
Introduction
Hello, my name is [interviewer name]. I work for the [ACKCO(an Indian owned corporation)/Abt.] in [Phoenix/Boston], an independent research organization. I do not work for the U.S. Department of Housing and Urban Development (HUD) or any housing authority; however, we are conducting research for HUD. [ACKCO/Abt.]] is conducting a study examining current housing conditions. HUD’s Office of Native American Programs (ONAP) is sponsoring an evaluation of the Indian Housing Block Grant Program (IHBG) to learn about IHBG activities, determine if the program is addressing affordable housing needs, and identify challenged to operating the program.
As part of this research, we are conducting interviews with tribal members of approximately 30 tribal organizations to obtain individual experiences and insights on housing conditions. The objective of the survey is to provide ONAP with information on current housing conditions.
This survey will take about 10 minutes to complete. Participating in this survey is voluntary, and you can refuse to answer any question. I want to assure you that all of your responses will remain confidential. The information we obtain from these interviews will be presented only as statistical summaries, and no individual respondents will be identified. This survey is being conducted with OMB approval. Your opinions are important to the study and we hope that you agree to participate. The information you provide will help HUD better understand perspectives and experiences with respect to current housing conditions.
Do you have any questions or comments before we continue?
Please indicate which best describes the kind of housing are you currently living in.
Rental housing unit
House that I or my partner owns
Living with family or friends
Homeless (e.g., living in a homeless shelter, on the streets, or in a car)
Other housing situation (specify):_____________________________________________
Please indicate the type of help you currently receive with your housing expenses from [tribal housing agency name]. If you do not receive any help with your housing expenses from [tribal housing agency name], please check that box.
I live in a house that is owned or managed by [tribal housing name]
I receive a monthly rental subsidy from [tribal housing name]
I get help with my utilities from [tribal housing name]
I purchased my house from [tribal housing name]
I receive another type housing assistance to pay my rent or utilities (specify):____________________________________
I do not receive any help with my housing expenses from [tribal housing agency]
Overall, how would you describe the condition of your current house or apartment? Please check just one box.
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Not including bathrooms and hallways, how many rooms are there in your house/apartment?
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Where you live now, how much of a problem is…
Interior walls with peeling paint or broken plaster?
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Plumbing that doesn’t work?
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Rats or mice?
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A heating system that doesn’t work?
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A stove or refrigerator that doesn’t work?
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Exposed wire or electrical problems?
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Too little space?
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Thinking about the exterior of your house, do you have any of the following issues:
A roof that leaks?
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Sloping, leaning, or buckling exterior walls?
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Missing or broken windows?
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On the grounds around your housing unit, do large puddles of water remain for several days after it rains?
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How safe is the area outside your home at night? Please check the box that describes how safe you think the area is.
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Overall, how satisfied are you with your current apartment or house?
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Not including you, how many people aged 18 or over currently live with you?
Number of people aged 18 and over:______________
How many children under the age of 18 currently live with you?
Number of children under the age of 18:_____________
Does anyone in the household regularly sleep in a room other than a bedroom because there are not enough bedrooms?
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Do household members sometimes go elsewhere to sleep because there is not enough space in your house/apartment?
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About what share of your family income (take home pay) is used for housing expenses? (For example, if your family has about $800 each month in income and your rent and utilities are approximately $200 per month, then you spend about one-fourth--25%--of your income on housing expenses. You would check one-third or less.)
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Where is your home located?
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Is your home on Trust Land?
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We appreciate the time you shared with us to help with this important study on existing housing conditions. Thank you very much for completing the survey.
File Type | application/msword |
File Title | KEY ASSUMPTIONS/CAVEATS FOR DRAFT PHA SURVEY |
Author | ChaNell Marshall |
Last Modified By | justin masucci |
File Modified | 2008-04-17 |
File Created | 2008-04-17 |