The purpose of this survey is to understand the housing needs and preferences of households and workers in Lake, Fremont and Custer Counties (click here for the map of the study area). The results of the survey will help the Upper Arkansas Area Council of Governments understand and plan for existing and future housing needs in the area.

Be assured that your responses are completely CONFIDENTIAL and will be used for planning purposes only. If you have any questions, please contact Sarah Brown at RRC Associates, Inc. (1.888.449.4772, ext. 120, toll-free).

Is your residence in OR nearest to:
Westcliffe
Silver Cliff
Other Custer County:
Caņon City
Florence
Penrose
Other Fremont County:
Leadville
Other Lake County:
Other:


What best describes you?
Year-round local resident
Seasonal worker
Second homeowner - when I am not at my residence it is:
  rented as a vacation rental leased
  loaned to friends/family vacant

Do you own or rent your residence?
Own
Rent
Caretake
Other:

In what type of residence do you live in the Upper Arkansas area?
Apartment
Mobile home
Condo/townhouse/duplex
Single-family home/cabin
Other:

How many rooms do you have in your home?
(Do not count bathrooms, porches, balconies, foyers or half-rooms)

How many bedrooms are in your home?

Do you receive housing assistance, rent a unit from an employer or live in subsidized housing for employees?
Yes
No
Uncertain

Is your residence deed-restricted?
(a residence with income restrictions and resale caps limiting appreciation)
Yes
No
Uncertain

How many people live in your household and what are their ages?
(Please include yourself)
Total number of persons in household:
Ages of People living in household:
(WHOLE NUMBER ONLY, NO RANGE)
Person 1 (YOURSELF):
Person 5:
Person 2:
Person 6:
Person 3:
Person 7:
Person 4:
Person 8:

Which of the following best describes your household?
Adult living alone
Single parent with child(ren)
Couple, no child(ren)
Couple with child(ren)
Unrelated roommates
Family members and unrelated roommates
Immediate and extended family members

Do you speak a language other than English at home?
Yes - Spanish
Yes - other:
No

How long have you continuously resided in your current residence? How long have you lived in the the assessment area?
LIVED IN
CURRENT
RESIDENCE
LIVED IN THE
ASSESSMENT
AREA
  
Less than 6 months
6 months up to 1 year
1 up to 2 years
2 up to 3 years
3 up to 5 years
5 up to 10 years
10 years or more

Please rate the following aspects of where you currently live:
 
POOR
GOOD
EXCELLENT
 
1
2
3
4
5
Condition of home
Exterior appearance
Yard/lot size
Adequacy of heating
Safety/security
Quality of neighborhood

When you retire, will you:
Stay in the same residence
Move to a different residence in the same community
Move elsewhere in the region: Where?
Move out of the region
Don't know

  
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