OMB Approval 2528-XXXX
Expiration Date: XX/XX/XXXX
Housing
Counseling Study Follow-Up Survey
Pre-Purchase Clients
Introduction
Hello this is ________________. I’m calling from IMPAQ International on behalf of the HUD Housing Counseling study. May I please speak to (RESPONDENT NAME)?
IF NECESSARY, READ: “(RESPONDENT) has agreed to help with a study on housing counseling sponsored by the U.S. Department of Housing and Urban Development.
IF RESPONDENT IS NOT AVAILABLE COLLECT INFORMATION ON BEST TIME TO CALL BACK.
IF RESPONDENT IS AVAILABLE, CONFIRM THAT HE/SHE IS AN OUTCOME PANEL MEMBER
Recently we sent you a letter saying we would be calling to conduct a follow-up interview with you. Did you receive that letter?
YES
NO
DON’T KNOW
REFUSED
(The letter explained that/Good! As we mentioned in the letter,) we are doing a survey on behalf of the Housing Counseling Outcome study. About a year ago, you agreed to participate in a study that the U.S. Department of Housing and Urban Development is conducting on housing counseling. At that time, you received housing counseling services from (AGENCY NAME) and agreed to be interviewed once by telephone.
The interview will take about 30 minutes, and after you complete it, we will send you a $20 money order. Participation in this study is voluntary and there are no penalties, now or in the future, should you decide not to participate. Your contribution to this study is very important, however, and we do appreciate your participation. The answers to all the questions will be confidential and will never be linked by name to you individually. We will be able to send you the $20 after completing the interview.
CONTINUE
REFUSED
Section A: Satisfaction with Counseling Received
[RESPONDENT GROUP: ALL RESPONDENTS]
About a year ago [or AMOUNT OF TIME SINCE STUDY ENROLLMENT], starting in [MONTH AND YEAR OF ENROLLMENT], you received housing counseling services from [AGENCY NAME] because you were interested in purchasing a home.
I’d like to start by hearing your opinions on the housing counseling services you received.
I am interested in finding which topics you received information or help on through the counseling. Did you receive information or help on?
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Yes |
No |
DK |
REF |
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Which of these topics did you find most useful? (CHECK ALL THAT APPLY. IF NECESSARY READ LIST OF ALL RESPONSES FROM Q1 WITH A ‘YES’ ANSWER.)
BUDGETING/MONEY MANAGEMENT
CREDIT SCORES/ADDRESSING CREDIT ISSUES
HOW TO FIND A HOUSE
HOME INSPECTION PROCESS
HOW TO FIND A LENDER/MORTGAGE
WHAT HOUSE PRICE YOU COULD AFFORD
SOURCES OF DOWN PAYMENT ASSISTANCE
HOME MAINTENTANCE
OTHER TOPIC MENTIONED ABOVE
ALL TOPICS WERE USEFUL
DON’T KNOW
REFUSED
Overall, how satisfied were you with the counseling you received from [AGENCY NAME] starting in [ENROLLMENT DATE]? Would you say you were…?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
DON’T KNOW
REFUSED
Would you recommend housing counseling to another person in your situation?
YES
YES, BUT NOT FROM THIS AGENCY
NO
DON’T KNOW
REFUSED
Since receiving the pre-purchase housing counseling services from [AGENCY NAME], have you received any of the following types of help or services, either from [AGENCY NAME] or from another agency:
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Yes |
No |
DK |
REF |
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[FOR EACH SERVICE RECEIVED] Did you receive the service from [AGENCY NAME] or from a different agency?
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[AGENCY NAME] |
Different Agency |
DK |
REF |
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Did you purchase a home at any time since [MONTH AND YEAR OF STUDY ENROLLMENT] or are you currently under agreement to buy a home?
YES [CODE AS PURCHASER] SKIP TO SECTION B: CHARACTERISTICS OF OWNED HOME
NO
DON’T KNOW
REFUSED
Did you inherit a home at any time since [MONTH AND YEAR OF STUDY ENROLLMENT]?
YES [CODE AS INHERITOR] SKIP TO SECTION B: CHARACTERISTICS OF OWNED HOME
NO SKIP TO SECTION K: NON-PURCHASERS
DON’T KNOW SKIP TO SECTION K: NON-PURCHASERS
REFUSED SKIP TO SECTION K: NON-PURCHASERS
Section B: Characteristics of Owned Home
[RESPONDENT GROUP: PURCHASERS AND INHERITORS]
In what month and year did you purchase/inherit your home?
MONTH:________________ YEAR:_____________________
DON’T KNOW
REFUSED
What type of residence is it? Is it:
A single-family home
A townhouse or row house
A unit in a condominium or co-op building
A mobile home
A multi-family home with two or more apartments that you also own
Some other type of housing (SPECIFY: _______________________)
DON’T KNOW
REFUSED
When was this residence originally built? Was it:
Before 1970
Between 1970 and 1989
Between 1990 and 1999
In 2000 or later
DON’T KNOW
REFUSED
What is the address of the residence?
Street 1:_________________________
Street 2:_________________________
City:____________________________
State:___________________________
Zip:_____________________________
DON’T KNOW
REFUSED
[INHERITORS ONLY] What was the estimated value of the home at the time that you inherited it?
$________________ (VALUE OF THE HOME)
DON’T KNOW
REFUSED
When you inherited the home, did you take out a mortgage on this property?
YES [CODE AS MORTGAGE HOLDER] SKIP TO SECTION E: MORTGAGE FINANCING
NO SKIP TO SECTION H: HOME EQUITY LOANS
DON’T KNOW SKIP TO SECTION H: HOME EQUITY LOANS
REFUSED SKIP TO SECTION H: HOME EQUITY LOANS
Section C: Purchase Process
[RESPONDENT GROUP: PURCHASERS ONLY]
During the process of searching for a home to purchase, did you use a real estate agent at all?
YES
NO SKIP TO Q15
DON’T KNOW SKIP TO Q15
REFUSED SKIP TO Q15
I am going to read you a list of services that the real estate agent may or may not have provided. Did the real estate agent help you with:
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Yes |
No |
DK |
REF |
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Did the real estate agent provide some other type of assistance? If so, what was it?
YES (SPECIFY:_______________________________)
NO
DON’T KNOW
REFUSED
Approximately how long did you spend looking at homes to purchase? Was it:
Less than 3 months
3 months to 6 months
6 months to 1 year
More than 1 year
DON’T KNOW
REFUSED
Approximately how many homes did you see before deciding to purchase the home you now own? Would you say:
Fewer than 5
5 to 9
10 to 19
20 or more
DON’T KNOW
REFUSED
Did you make any offer on other homes before the one you purchased?
YES
NO SKIP TO Q20
DON’T KNOW
REFUSED
How many homes did you make an offer on, not counting the home you purchased?
ONE
TWO
THREE
FOUR
FIVE OR MORE
DON’T KNOW
REFUSED
I am interested in the reason(s) why [this offer/these offers] did not go through. Let’s start first with the most recent offer you made before purchasing your house. [ASK PARTS A-E]
[IF RESPONDENT MADE MORE THAN ONE OFFER] Let’s now talk about the second most recent offer before that one. [ASK PARTS A-E]
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Most recent offer |
2nd most recent offer |
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When you made an offer on the home you purchased, was your offer:
More than the listing price
The same as the listing price
Less than the listing price
DON’T KNOW
REFUSED
Did you hire a home inspector to evaluate the structural condition and major systems, like the plumbing, electrical wiring, and heating systems, of the house?
YES
NO
DON’T KNOW
REFUSED
Did you obtain a mortgage or other loan to finance the purchase of this home?
YES [CODE AS MORTGAGE HOLDER] SKIP TO Q23
NO
DON’T KNOW
REFUSED
Just to confirm that I understand your response, that means that you paid the full price for the home at closing and did not obtain any financing at all to purchase the home?
YES SKIP TO SECTION D
NO
DON’T KNOW SKIP TO SECTION D
REFUSED SKIP TO SECTION D: PURCHASE PRICE, DEPOSIT, AND DOWN PAYMENT
What type of lender did you get your mortgage or financing to purchase the home from? Was the lender:
Your regular bank
Your credit union
Another bank in your area
A mortgage broker or mortgage company
The seller of the home I bought
Another type of lender (SPECIFY:____________________)
DON’T KNOW
REFUSED
How did you find the lender? [CHECK ONE.]
THROUGH FAMILY OR FRIENDS
THROUGH PLACE OF WORSHIP
THROUGH THE INTERNET/WEB SITE
THROUGH MY REAL ESTATE AGENT
THE LENDER CONTACTED ME
I HAD WORKED WITH THE LENDER BEFORE
THE LENDER WAS THE SELLER OF THE HOUSE
OTHER (SPECIFY:_______________)
DON’T KNOW
REFUSED
How many lenders did you meet or speak with before choosing one? [CHECK ONE.]
I MET/SPOKE ONLY WITH THE LENDER THAT GAVE ME THE MORTGAGE
I MET/SPOKE WITH ONE OTHER LENDER
I MET/SPOKE WITH TWO OTHER LENDERS
I MET/SPOKE WITH MORE THAN TWO OTHER LENDERS
DON’T KNOW
REFUSED
Section D: Purchase Price, Deposit, and Down Payment
[RESPONDENT GROUP: PURCHASERS ONLY]
[NOTE: THE ADVANCE LETTER FOR THE SURVEY WILL ASK RESPONDENTS TO HAVE THEIR SETTLEMENT STATEMENT AND URLA AVAILABLE.]
Now I’d like to ask some questions about your home purchase. In answering these questions, it will be very helpful to have at hand two documents that were very likely part of the documents you signed when you became the owner of the home. These are the Settlement Statement (also referred to as the HUD-1 form) and the Uniform Residential Loan Application. You should have been given copies of these forms at the time of your closing or settlement. If you have refinanced your home since you first bought it, please be sure to use the documents from your home purchase transaction (not the refinancing) to answer these questions. It will make this part of the interview go much more quickly.
Do you have copies of these documents available?
Yes SKIP TO Q28
No
Don’t know
Refused
NOTE TO INTERVIEWER: ENCOURAGE THE RESPONDENT TO GET THE PAPERS FOR REFERENCE. IF RESPONDENT HAS THE PAPERS BUT NEEDS MORE TIME TO GET THE PAPERS: We really would like you to have these papers on hand when we go through these questions - it will ensure the information we collect is accurate and make the interview go much faster. Why don’t we finish the other questions in the survey and then I can schedule a call back later, giving you some time to find the papers. Once you have the papers, it will only take a few minutes to finish the interview and send you your incentive.
Are you willing to find the papers and schedule a call back later?
YES START AT Q28 WHEN CALL BACK
NO
DON’T KNOW
REFUSED
NOTE TO INTERVIEWER: READ PARENTHETICAL ELEMENTS OF QUESTIONS ONLY IF RESPONDENT HAS DOCUMENTS.
What was the purchase price of this home? That is, what was the final amount you paid for this home? (This is listed on the Settlement Statement as the “Contract sales price” on line 101.)
$_______________________ SKIP TO Q29
DON’T KNOW
REFUSED
Was it:
Less than $50,000
At least $50,000 but less than $100,000
At least $100,000 but less than $125,000
At least $125,000 but less than $150,000
At least $150,000 but less than $175,000
At least $175,000 but less than $200,000
At least $200,000 but less than $250,000
At least $250,000 but less than $300,000
At least $300,000 but less than $400,000
At least $400,000 but less than $750,000
At least $750,000 but less than $1,000,000
$1,000,000 or more
DON’T KNOW
REFUSED
After you made an offer to purchase your home, you probably went through a number of steps to purchase it, such as signing a purchase and sale agreement, making an initial deposit, and arranging payment for the purchase of your home/obtaining a mortgage to finance the purchase of your home. The next few questions ask about the sources and amount of funds you had to obtain in order to make your down payment and purchase your home.
I’d first like to know about the money you put down on your home, as part of the purchase price. Typically, this money is put down on the home in two separate payments. The first payment is an initial deposit, usually a small portion of the purchase price – anywhere from $100 to several thousand dollars – which binds you to the terms of your purchase agreement. The second payment is a larger amount usually ranging between 5% and 20% of the purchase price of the home. The second payment is typically made on the day of the closing or settlement. Together these payments are generally referred to as a down payment on the home.
How much was your initial deposit on the purchase? This was the amount that bound you and the seller to the terms of the Purchase and Sale agreement. (This is listed on the Settlement Statement as “Deposit or earnest money” on Line 201.)
$_______________________ SKIP TO Q30
DON’T KNOW
REFUSED
What is your best estimate of the initial deposit amount?
$________________
DON’T KNOW
REFUSED
How much was the additional amount you paid from your own funds at the closing? (This is listed on the Settlement Statement as “Cash From the Borrower” on Line 303.) If you are not sure, please provide your best estimate.
$_______________________ SKIP TO Q31
DON’T KNOW
REFUSED
What is your best estimate of the amount you paid at closing?
$________________
DON’T KNOW
REFUSED
People may use several sources to obtain the money for the down payment on their home. In addition to using their own money, people are sometimes able to get money from other sources such as relatives or friends.
Thinking about the total down payment you just told me you put down on your home, did you receive any money from friends or relatives for the initial deposit or cash paid at closing. Please don’t include any loans or grants from government agencies, non-profit organizations, or banks – we’ll ask about those later. (Information may be available from the Uniform Residential Loan Application, Section Two, under “Source of Down Payment, Settlement Charges and/or Subordinate Financing,” on page 1.)
YES
NO SKIP TO Q32
DON’T KNOW
REFUSED
What was the total amount of the money for the initial deposit and money paid at closing provided by friends or relatives?
$_______________________ SKIP TO Q32
DON’T KNOW
REFUSED
What is your best estimate of the amount provided by friends or relatives?
$________________
DON’T KNOW
REFUSED
Did you receive any down payment assistance, or grants for your down payment that you may not be obligated to pay back, such as loans or grants from a city or county government agency, a community organization, or a local housing agency? [INTERVIEW: IF R MENTIONS FUNDS RECEIVED FROM HUD PROGRAMS, “HOME” PROGRAM, OR FAMILY SELF SUFFICIENCY PROGRAM, CODE RESPONSE AS YES.]
YES
NO SKIP TO SECTION E: MORTGAGE FINANCING
DON’T KNOW
REFUSED
Did you receive more than one grant or assistance of this type?
YES
NO
DON’T KNOW
REFUSED
[IF Q32A=YES, READ: “Let’s talk about each type of assistance one at a time. Let’s start with the first grant or assistance you received.]
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Down Payment Grants/Assistance |
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1st grant |
2nd grant |
3rd grant |
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Section E: Mortgage Financing
[RESPONDENT GROUP = MORTGAGE HOLDERS]
Next, I’d like to find out more about the mortgage you obtained to finance the purchase of your home.
There are many different types of programs, financing options, and payment terms available to meet individual financial goals and situations when purchasing a home. The next questions are about your first, or primary, mortgage, and how you financed the purchase of your home.
How much is the loan amount for your first mortgage on this home? (The Uniform Residential Loan Application lists this amount in Section 1. Type of Mortgage and Terms of Loan as “Amount.”)
$______________________ FIRST MORTGAGE LOAN AMOUNT
DON’T KNOW
REFUSED
What is your best estimate of the first mortgage amount?
$________________
DON’T KNOW
REFUSED
What is the total number of months or years over which mortgage payments are to be made? That is, if you paid what the mortgage requires every month and kept the house until it was paid off, how long would that be? (This is shown in Section 1. Type of Mortgage and Terms of Loan as the “No. of Months.”)
360 MONTHS OR 30 YEARS
300 MONTHS OR 25 YEARS
240 MONTHS OR 20 YEARS
180 MONTHS OR 15 YEARS
120 MONTHS OR 10 YEARS
OTHER (SPECIFY):
DON’T KNOW
REFUSED
What was the initial annual interest rate on this mortgage? (This is shown in the Section I to Section 1. Type of Mortgage and Terms of Mortgage as the “Interest Rate.”)
_____.____% ANNUAL INTEREST RATE
DON’T KNOW
REFUSED
What type
of mortgage did you obtain to finance the purchase of your home?
(The Uniform Residential Loan Application or URLA shows this
information in Section 1, as “Amortization Type.”) Was
it a:
Fixed mortgage SKIP TO Q38
Adjustable rate mortgage
Graduated payment mortgage SKIP TO Q38
Other (Specify with any notes listed on the URLA): SKIP TO Q38
DON’T KNOW
REFUSED SKIP TO Q38
When will the interest rate change, or adjust, on this mortgage? (This information may be shown on the URLA next to the ARM box in Section 1.)
___________ YEARS
DON’T KNOW
REFUSED
Are you required to pay the bank a penalty amount if you decide to pay off your entire mortgage, or refinance your mortgage before the due date?
YES
NO SKIP TO Q39
DON’T KNOW SKIP TO Q39
REFUSED SKIP TO Q39
How much is the penalty amount if you pay off your mortgage early, or refinance your mortgage before the due date? (If necessary, probe: Prepayment penalties often run in the range of $600 or 3 months interest, which ever is greater.)
$____________________ OR ________________ MONTH’S INTEREST
DON’T KNOW
REFUSED
Do you have mortgage insurance? This is insurance that may have been required by the bank or lender, to protect them again possible nonpayment. (This is different from insurance on the home itself.) This may be referred to as an FHA loan or a payment for “PMI.”
YES
NO SKIP TO Q40
DON’T KNOW SKIP TO Q40
REFUSED SKIP TO Q40
a. What type of mortgage insurance do you have? (This is shown on the Settlement Statement in Box B, “Type of Loan.”) Is it:
A private insurance company, such as Mortgage Guarantee Insurance (MGIC) (Conventional Insured)
Federal Housing Administration (FHA)
Farmers Home Administration (FmHA), or USDA/Rural Housing (RHS)
Veterans Administration (VA)
Mortgage insurance from a State agency for first-time homebuyers
Other (Specify:______________)
DON’T KNOW
REFUSED
In addition to a percentage of the purchase price of the home, there are usually some fees or charges you need to pay at the closing.
How much did you pay for the loan origination fee? (This is listed on line 801 of the Settlement Statement.)
$_______________________
DID NOT PAY THAT FEE
DON’T KNOW
REFUSED
How much did you pay for the loan discount also called loan discount points? (This is listed on line 802 of the Settlement Statement.)
$_______________________
DID NOT PAY THAT FEE
DON’T KNOW
REFUSED
Section F: Other Sources of Financing
[RESPONDENT GROUP = PURCHASERS]
Now I’d like to ask you about the other sources of financing you obtained to purchase your home. Did you take out other loans to pay for your home purchase?
YES
NO SKIP TO SECTION G: REFINANCING
DON’T KNOW SKIP TO SECTION G: REFINANCING
REFUSED SKIP TO SECTION G: REFINANCING
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2nd loan |
3rd loan |
4th loan |
a. How much is the principal loan amount for this mortgage/loan (see the Settlement Statement, lines 204-209)? |
$____________
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$____________
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$____________
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b. What is the name of the organization that provided this mortgage/loan? [NOTE: IF HOME SELLER PROVIDED THE FINANCING ENTER “SELLER”] |
_____________
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_____________
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_____________
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c. What is the annual interest rate on this mortgage/loan? |
____.______%
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____.______%
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____.______%
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Section G: Refinancing
[RESPONDENT GROUP = MORTGAGE HOLDERS]
The next questions are about whether you have refinanced your mortgage since acquiring your home.
Since initially acquiring your home, have you refinanced an existing mortgage?
YES
NO SKIP TO SECTION H: HOME EQUITY LOANS
DON’T KNOW SKIP TO SECTION H: HOME EQUITY LOANS
REFUSED SKIP TO SECTION H: HOME EQUITY LOANS
How many times have you refinanced the mortgage on your home?
________ NUMBER OF REFINANCINGS
DON’T KNOW
REFUSED
People refinance for many reasons. I’m going to read a list of possible reasons. For each reason, please tell me whether it was a big reason, small reason, or not a reason for you.
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Big Reason |
Small Reason |
Not a Reason |
DK |
REF |
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Was there some other reason you refinanced? If so, what was it?
YES (SPECIFY:_______________________________)
NO
DON’T KNOW
REFUSED
Please tell me about your refinance loan(s). For information on refinance loans, the Settlement Statement and the Uniform Residential Loan Application (URLA) for the refinance transaction will be very helpful. If you don’t have copies of these documents available, please give me your best estimate.
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Refinance Loans |
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1st loan |
2nd loan |
3rd loan |
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$____________
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$____________
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$____________
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_____/________ Mo Year
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_____/________ Mo Year
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_____/________ Mo Year
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________ Months
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________ Months
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____.______%
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____.______%
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INSTRUCTIONS FOR INTERVIEWER: USE FOLLOWING TABLE TO CONVERT FRACTIONS INTO DECIMALS FOR INTEREST RATES
1/8TH = 0.125
1/4TH = 0.25
3/8TH = 0.375
1/2 = 0.50
5/8TH = 0.625
¾ = 0.75
7/8TH = 0.875
Section H: Home Equity Loans
[RESPONDENT GROUP = PURCHASERS AND INHERITORS]
Since purchasing/inheriting the house, have you taken out a home equity loan? (IF NECESSARY READ: A home equity loan is a mortgage that you take out in addition to the existing mortgage on your home to be able tap any accumulated home equity you have.)
YES
NO SKIP TO SECTION I: HOUSING PAYMENTS
DON’T KNOW SKIP TO SECTION I: HOUSING PAYMENTS
REFUSED SKIP TO SECTION I: HOUSING PAYMENTS
How many home equity loans have you taken out?
________ NUMBER OF HOME EQUITY LOANS
DON’T KNOW
REFUSED
People take out home equity loans for many reasons. I’m going to read a list of possible reasons. For each reason, please tell me whether it was a big reason, small reason, or not a reason for you.
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Big Reason |
Small Reason |
Not a Reason |
DK |
REF |
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Was there some other reason you took out a home equity loan? If so, what was it?
YES (SPECIFY:_______________________________)
NO
DON’T KNOW
REFUSED
Please tell me about your home equity loan(s). For information on refinance loans, the Settlement Statement and the Uniform Residential Loan Application (URLA) for the refinance transaction will be very helpful. If you don’t have copies of these documents available, please give me your best estimate.
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Home Equity Loans |
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1st loan |
2nd loan |
3rd loan |
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$____________
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$____________
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$____________
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_____/________ Mo Year
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_____/________ Mo Year
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_____/________ Mo Year
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________ Months
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________ Months
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____.______%
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____.______%
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Section I: Housing Payments
[RESPONDENT GROUP = PURCHASERS AND INHERITORS]
I’d now like to ask you some questions about your housing payments. Monthly or periodic housing payments can include several different parts, such as the amount you pay the bank for principal and interest on a loan, real estate taxes paid to your city or state, as well as homeowners insurance, sometimes called hazard insurance. In addition, some mortgages that allow you to make a smaller down payment require that you purchase mortgage insurance, sometimes called PMI (Private Mortgage Insurance). Thinking about all these types of payments, next I’d like to find out what your total monthly payments are for this home.
If you have your mortgage statement from last month handy, it will be helpful to get it out to review for these next questions. A property tax and homeowner insurance bill will also be helpful. It will really make this part of the interview go more quickly.
How much do you currently pay each month to your lender or mortgage servicer? Include payments for all outstanding mortgages and home equity loans.
$_______________________
DON’T KNOW
REFUSED
Does the payment to your lender or servicer include an escrow for homeowners or property insurance?
YES
NO SKIP TO Q51
DON’T KNOW SKIP TO Q51
REFUSED SKIP TO Q51
How much do you pay each year for homeowners or property insurance? If you make payments on a monthly, quarterly, or bi-annual basis we can help convert that to an annual amount.
$_______________________
DON’T KNOW
REFUSED
Does the payment to your lender include an escrow for property taxes?
YES
NO SKIP TO Q52
DON’T KNOW SKIP TO Q52
REFUSED SKIP TO Q52
How much do you pay each year for property taxes? If you make payments on a monthly, quarterly, or bi-annual basis we can help convert that to an annual amount.
$_______________________
DON’T KNOW
REFUSED
Do you pay condominium or cooperative fees or homeowner association dues?
YES
NO SKIP TO Q53
DON’T KNOW SKIP TO Q53
REFUSED SKIP TO Q53
How much do you pay in condominium or cooperative fees or homeowner association dues each month? ? If you make payments on a quarterly, bi-annual, or annual basis we can help convert that to a monthly amount.
PER MONTH: $_______________________
DON’T KNOW
REFUSED
On average across the year, approximately how much do you pay each month for utilities, such as electricity, heat, gas, and water? If you make payments on a monthly, quarterly, or bi-annual basis we can help convert that to an annual amount.
$_______________________
DON’T KNOW
REFUSED
Section J: Delinquency, Default, or Foreclosure Experience
[RESPONDENT GROUP = PURCHASERS AND INHERITORS]
Sometimes special circumstances arise that make it difficult to pay back your mortgage or loans.
Since acquiring your home, have you missed any monthly mortgage or loan payment(s)? You miss a payment when your payment is overdue for an entire month.
YES
NO SKIP TO SECTION L: EMPLOYMENT AND INCOME
DON’T KNOW SKIP TO SECTION L: EMPLOYMENT AND INCOME
REFUSED SKIP TO SECTION L: EMPLOYMENT AND INCOME
How many payments have you missed?
ONE PAYMENT
TWO PAYMENTS
THREE OR MORE PAYMENTS
DON’T KNOW
REFUSED
What caused you to get behind on your mortgage? I am going to read you a list of possible reasons and I’d like you to tell me which reasons apply to your situation.
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REF |
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Did you seek help from your lender or any housing or consumer credit counseling agencies or organizations to help you explore options for services, or ways to avoid foreclosure on your home?
Your lender
A housing counseling agency
A consumer credit counseling agency
A law firm or legal aid organization
Other Organization (Specify): _________________
NONE OF THE ABOVE SKIP TO Q58
DON’T KNOW SKIP TO Q58
REFUSED SKIP TO Q58
What kind of help or services did you receive from these organizations? Did you receive help with:
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Yes |
No |
DK |
REF |
Budgeting or financial management? |
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Arranging a payment plan? |
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Renegotiating the terms of your loan or the payment schedule? |
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Getting part of the debt forgiven? |
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Did you receive any other kind of help from these organizations?
YES (SPECIFY:_________________)
NO
DON’T KNOW
REFUSED
Have you received a notice of intent to foreclose from your bank or lender?
YES
DON’T KNOW SKIP TO SECTION L: EMPLOYMENT AND INCOME
REFUSED SKIP TO SECTION L: EMPLOYMENT AND INCOME
Did you lose your home to foreclosure?
YES SKIP TO Q59
NO
DON’T KNOW
REFUSED
Are you still in the foreclosure process or about to lose your home?
YES
NO
DON’T KNOW
REFUSED
What is your current living situation? Do you:
Live in a home that you own
Live in a home that you rent
Live with friends or relatives
Other (SPECIFY:____________________________)
What type of residence do you currently live in? Is it:
A single-family home
A townhouse or row house
A unit in a a condominium or co-op building
A mobile home
A multi-family home with two or more apartments that you also own
Some other type of housing (SPECIFY: _______________________)
DON’T KNOW
REFUSED
Section K: Experiences of Non-Purchasers
[RESPONDENT GROUP = NON-PURCHASERS]
Let’s talk about your current housing situation. Do you…
Rent your house or apartment
Live in someone else’s house or apartment without paying rent
Live in some other housing arrangement (SPECIFY: ___________________)
DON’T KNOW
REFUSED
What type of residence is it? Is it:
A single-family home
A townhouse or row house
A unit in a condominium or co-op building
A mobile home
A multi-family home with two or more apartments that you also own
Some other type of housing (SPECIFY: _______________________)
DON’T KNOW
REFUSED
How much do you currently pay each month for your rent? [ENTER 0 IF RESPONDENT PAYS NO RENT.]
$______________________.00
DON’T KNOW
REFUSED
On average over the year, how much do you pay each month for utilities, such as electricity, heat, gas, and water? (Do not include utilities that are included in your rent.) [ENTER 0 IF RESPONDENT PAYS NO UTILITIES.]
$_______________________
DON’T KNOW
REFUSED
Since [ENROLLMENT DATE], when you received housing counseling services from [AGENCY NAME], have you made any offers to purchase a home?
YES
NO SKIP TO Q67
DON’T KNOW SKIP TO Q67
REFUSED SKIP TO Q67
How many homes have you made an offer on?
ONE
TWO
THREE
FOUR
FIVE OR MORE
DON’T KNOW
REFUSED
I am interested in the reason(s) why [this offer/these offers] did not go through. Let’s start first with the most recent offer you made. [ASK PARTS A-E]
[IF RESPONDENT MADE MORE THAN ONE OFFER] Let’s now talk about the second most recent offer. [ASK PARTS A-E]
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Most recent offer |
2nd most recent offer |
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Are you still interested in purchasing a home?
YES SKIP TO Q69
NO
DON’T KNOW SKIP TO Q69
REFUSED SKIP TO Q69
I am going to read you a list of common reasons individuals lose interest in purchasing a home. Please let me know if any of them describe the reason you lost interest in purchasing a home.
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NO |
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REF |
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Was there another reason you lost interest in purchasing a home? If so, what was it?
YES (SPECIFY:_____________________)
NO
DON’T KNOW
REFUSED
SKIP TO SECTION L: EMPLOYMENT AND INCOME
I am going to read you a list of common reasons why individuals who are interested in purchasing a home do not do so. Please let me know if any of them describe the reason you have not yet purchased a home.
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NO |
DK |
REF |
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Was there another reason you have not yet purchased a home? If so, what was it?
YES (SPECIFY:_____________________)
NO
DON’T KNOW
REFUSED
Section L: Employment and Income
[RESPONDENT GROUP = ALL RESPONDENTS]
The next questions are about your employment situation and household income. Please report in whole dollars only.
What is your current work status? Are you: (CHECK ONE.)
Employed full-time
Employed part-time
A homemaker or student
Unemployed, looking for work
Unemployed, not looking for work
Temporarily laid off or on leave
Retired or disabled
DON’T KNOW
REFUSED
What is the current work status of your co-borrower(s)? (By co-borrower, I mean anyone you took out a home mortgage loan with or who you intend to take out a home mortgage loan with.)
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Co-borrower 1 |
Co-borrower 2 |
Co-borrower 3 |
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Thinking about the gross monthly income of you and your other household members, does it include:
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YES |
NO |
DK |
REF |
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Considering all of these sources of income, what is your household’s total gross monthly income? (Include all sources of income and the income of any co-borrowers as well as your own income.)
$______________________ SKIP TO Q73
DON’T KNOW
REFUSED
How much do you and other members of your household make in a year, before taxes?
$______________________
DON’T KNOW SKIP TO Q73
REFUSED SKIP TO Q73
So that’s about [ANNUAL AMOUNT DIVIDED BY 12] per month. Does that sound about right?
YES
NO
DON’T KNOW
REFUSED
How much money do you have in savings? (“Savings” includes money in checking accounts, savings accounts, money market accounts, certificates of deposit, savings at home, savings with others who are keeping it safe, and any other kinds of savings. Include your savings as well as the savings of any co-borrowers. Do not include savings in retirement accounts.) If you are not sure, please give your best estimate.
$______________________
DON’T KNOW
REFUSED
How much money do you have in retirement accounts, such as 401(k) accounts, 403(b) accounts, or IRAs? (Include your retirement accounts as well as those of any co-borrowers.) If you are not sure, please give your best estimate.
$______________________
DON’T KNOW
REFUSED
Section M: Closing and Contact Information
Thank you very much for your time. We are almost done. We will be sending you a money order for $20 within the next four to six weeks. To make sure we send your check to the correct address, we would like to confirm your correct address, as well as a mailing address if it differs from your home address. This information will be kept strictly confidential.
Is [HOME ADDRESS] still your home address?
YES SKIP TO Q77
NO
REFUSED
DON’T KNOW
May I please have your home address?
RECORD HOME ADDRESS:
STREET ADDRESS (INCLUDING UNIT #): ________
CITY, STATE, ZIP: ________
Is [HOME ADDRESS] also your mailing address?
YES SKIP TO CLOSING
NO
REFUSED
DON’T KNOW
May I please have your mailing address?
RECORD MAILING ADDRESS:
STREET (INCLUDE P.O. BOX):
CITY, STATE, ZIP:
INTERVIEWER NOTE: PROBE TO GET FULL MAILING ADDRESS AND READ IT BACK TO CONFIRM SPELLING.
CLOSING: Thanks again for taking the time to speak with me today. If you have any questions about this study, please call the Project Director, Chris Herbert, at Abt Associates at 1-617-349-2383, or you may leave a message on our toll-free number: 888-XXX-XXXX.
Thank you.
Housing
Counseling Outcome Study OMB Appendix A. Follow-Up Survey –
Pre-Purchase Clients
File Type | application/msword |
File Title | Abt Single-Sided Body Template |
Author | RobinsonM |
Last Modified By | H45351 |
File Modified | 2010-06-01 |
File Created | 2010-05-14 |