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SCREENER QUESTIONS
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1505-0231. The time required to complete this information collection is estimated to average 10 minutes.
S1) Do you own your home?
Yes [Go to S2]
No [Stop]
S2) Did you purchase your home before January 1, 2009?
Yes [Go to S3]
No [Stop]
S3) Is the total amount you owe on your mortgage (not the value of your home) less than $729,750?
Yes [Go to S4]
No [Stop]
S4) Are you concerned about your ability to continue making your monthly mortgage payments?
Yes [Start Survey]
No [Stop]
SURVEY QUESTIONS
Have you ever been late making (or missed) a mortgage payment?
Yes
No
[If yes to 1] How recently?
In the past 6 months
6 months to 1 year ago
1 to 2 years ago
Longer than 2 years ago
I don’t remember
Have you sought support with your mortgage payments? (Please check all that apply.)
I sought support more than 2 years ago.
I sought support more than 1 year ago, but less than 2 years ago.
I sought support in the last year.
I am seeking support right now.
I have not sought support.
[If yes (a – d) to 3] How did you find support (or where are you looking for support) with your mortgage payments? (Please check all that apply.)
Billboard or other outdoor sign
Flyer or handout
Mortgage seminar or help event
Advice from a friend or relative
Advice from a credit or housing counselor
Internet search
Social media (Facebook, Twitter, etc.)
Information in the mail
Television ad or story
Radio ad or story
Print ad or story (newspaper, magazine, etc.)
Other
[If no (e) to 3] Why haven’t you tried to find support with your mortgage payments? (Please check all that apply.)
I don’t know where to look.
I don’t think I’m eligible because I am unemployed.
I don’t think I’m eligible because I am employed.
I don’t think I’m eligible because I owe more on my mortgage than my home is worth.
I don’t know who to trust.
I don’t think I’m eligible because my home is worth more than I owe on my mortgage.
I don’t know how to start.
I don’t have access to help.
I don’t think people should get help from others for their mortgage.
I’m embarrassed about my situation and don’t want others to know.
I’m overwhelmed and afraid to seek help.
I’m not sure.
I will; I just haven’t gotten to it yet.
I think the economy is getting better and everything will work itself out.
Other reason not listed above.
Struggling homeowners need options to get help with their mortgage payments.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
The government should offer programs to help struggling homeowners.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
There are plenty of programs available to help struggling homeowners.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Which of the following mortgage terms have you heard? (Please check all that apply.)
Deed-in-Lieu of Foreclosure
Forbearance
Modification
Principal Reduction
Refinancing
Repayment Plan
Short Sale
I haven’t heard of any of these.
Which of the following programs have you heard about? (Please check all that apply.)
Home Affordable Modification Program (HAMP)
Second Lien Modification Program (2MP)
Home Affordable Unemployment Program (UP)
Home Affordable Foreclosure Alternatives Program (HAFA)
Principal Reduction Alternative (PRA)
Home Affordable Refinance Program (HARP)
FHA Short Refinance
Hardest Hit Fund (HHF)
Have you ever heard of a program called Making Home Affordable?
Yes
No
[If yes to 11], Where have you heard about the Making Home Affordable program? (Please check all that apply.)
Billboard or other outdoor sign
Flyer or handout
Mortgage seminar or help event
Advice from a friend or relative
Advice from a credit or housing counselor
Internet search
Social media (Facebook, Twitter, etc.)
Information in the mail
Television ad or story
Radio ad or story
Print ad or story (newspaper, magazine, etc.)
Other
[If yes to 11] (Please check all that apply.) The Making Home Affordable program:
Is a mortgage assistance program sponsored by mortgage companies
Is a government sponsored mortgage assistance program
Is free for homeowners
Is available for a minimum fee that can be paid over time
Is only available to homeowners receiving government assistance
Helps new home buyers find a house they can afford
Helps struggling homeowners avoid foreclosure
Reduces monthly mortgage payments to more affordable levels
Offers assistance only to people who are unemployed
Other
Have you ever heard of 888-995-HOPE (4673)?
Yes
No
[If yes to 14] (Please check all that apply.) Where have you heard about 888-995-HOPE (4673)?
Saw a billboard or other outdoor sign
Picked up a flyer or handout
Received an email
Attended a mortgage seminar or event
Heard about it from a friend or relative
Learned about it from a housing counselor
Learned about it from a credit counselor
Clicked on an online ad
Conducted an Internet search
Learned about it from social media (Facebook, Twitter, etc.)
Received information in the mail
Received a phone call
Saw an ad on television
Saw a story on television
Heard an ad on radio
Heard a story on radio
Saw an ad in print (such as newspaper, magazine, etc.)
Read a story in print (such as newspaper, magazine, etc.)
Other
[If yes to 14] (Please check all that apply.) 888-995-HOPE (4673):
Lets you make a donation to help homeowners affected by natural disasters
Lets you get listings on foreclosed properties in your area
Helps struggling homeowners avoid foreclosure
Is free
Is only available to homeowners receiving government assistance
Lets you speak live with a housing expert
Is only for people who are late on their mortgage payment
Puts you in touch with a HUD-approved housing counselor
Is only for people who are unemployed
Is available 24/7/365
Other
[Following questions are repeated for each graphic] We are going to show you a few images that might be used as advertisements. The following is a series of statements that could be used to describe the image. For each statement, please indicate if it describes the image not at all, somewhat, or completely.
|
Does not describe the image |
Describes it somewhat |
Describes the image completely |
Is clear to me |
|
|
|
Is relevant to me |
|
|
|
Is informative |
|
|
|
Is motivating |
|
|
|
Is confusing |
|
|
|
Is inspiring |
|
|
|
Is funny |
|
|
|
Is scary |
|
|
|
Is unique |
|
|
|
Is offensive |
|
|
|
Makes me want to learn more |
|
|
|
Makes me think a solution is available |
|
|
|
Makes me want to act |
|
|
|
Makes me want to act quickly |
|
|
|
Tells me what to do to get started |
|
|
|
Tells me something I don’t know |
|
|
|
Tells me something important |
|
|
|
(Please check all that apply.) I can tell from this image that the program:
Is a mortgage assistance program sponsored by mortgage companies
Is a government sponsored mortgage assistance program
Is free for homeowners
Is available for a minimum fee that can be paid over time
Is only available to homeowners receiving government assistance
Helps new home buyers find a house they can afford
Helps struggling homeowners avoid foreclosure
Reduces monthly mortgage payments to more affordable levels
Offers assistance only to people who are unemployed
None of the above
I can tell from this image that the primary way to get mortgage assistance would be to:
Call 888-995-HOPE (4673).
Visit MakingHomeAffordable.gov.
Call the U.S. Department of the Treasury.
Call the U.S. Department of Housing and Urban Development.
Search for Making Home Affordable online.
Are you?
Male
Female
20. What is your age?
18 – 24
25 – 34
35 – 44
45 – 54
55 – 64
65+
21. In what state do you live?
[Dropdown]
22. (Optional) What is your total household income?
Less than $49,999
$50,000 - $74,999
$75,000 - $99,000
$100,000 - $149,000
$150,000 - $199,000
More than $250,000
I prefer not to answer
(Optional) Are you of Hispanic or Latino origin?
Yes
No
24. (Optional) (Please check all that apply) Are you?
White
Black or African American
Asian
Native Hawaiian or other Pacific Islander
American Indian or Alaskan Native
25. (Optional) What is the primary language spoken in your household?
English
Spanish
Chinese (Mandarin)
Korean
Russian
Tagalog
Vietnamese
Other
I prefer not to answer
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | SCREENER QUESTIONS |
Author | Thomas J Thompson |
File Modified | 0000-00-00 |
File Created | 2021-02-01 |