[EMPLOYER]

Employee Housing Survey

[Employer] is evaluating its role in helping employees own a home closer to work. We are interested in helping people reduce their commute time and become first time homeowners. Your response to these questions will help us look at your housing needs and the best alternatives available to you. All information given is strictly confidential. Thank you for taking the time to fill this out.

Housing Location

1)In what city, town or village do you currently live? ______

2)What best describes the time it takes you to get to work? ___ less than 30 minutes

___ 30-60 minutes

___ between 60-90 minutes

___ over 90 minutes

3)How do you get to work? ___ I drive my own car

___ bus

___ train

___ I get a ride from someone

___ bicycle

___ I walk

Employment Situation

4)How long have you worked with

[Employer]?___ less than 1 year

___ 1-5 years

___ over 5 years

5)What is your job title? ______

Cost of Living

6) Do you share housing costs with a spouse or roommate? ___ yes ___ no

7) In what city, town or village does your spouse or roommate work? ______

8) a.Do you ___ own a home now

___ rent

b.What is your monthly housing cost? ______(not including utilities)

c.How many people are in your household _____

d.Please estimate either:

1.your gross annual income before taxes and the deductions

Your household

Less than $20,000 ______

$20,001 – $30,000 ______

$30,001 – $40,000 ______

$40,001 – $50,000 ______

$50,001 – $60,000 ______

$60,001 – $70,000 ______

$70,001 – $80,000 ______

over $80,000 ______

or:

2.your hourly wage:

Your household

less than $10/hr ______

$11 to $15/hr ______

$16 to $20/hr ______

$21 to $25/hr ______

$26 to $30/hr ______

$31 to $35/hr ______

$36 to $40/hr ______

over $40/hr ______

Housing Preferences

9)Have you ever considered moving so you would be closer to your work?

___ yes ___ no ___ hadn’t thought about it

10)Is the idea of owning a home or condo closer to work appealing to you?

___ yes ___ no ___ hadn’t thought about it

11)Which of the below best describes some of the obstacles that might keep you from owning a home or condo closer to work (check those that apply)?

___ Don’t want to change schools

___ Housing costs too much

___ Further from spouse’s job

___ I’m happy where I am

___ I live near my relative

___ I don’t know where to look

___ Other

12)What best describes your knowledge about state, county and city programs to assist

first-time buyers:

___ I am familiar with these programs

___ I am somewhat familiar with these programs

___ I am not at all familiar with these programs

13)How interested would you be in the following (Please circle number that applies):

a.Receiving a listing of all homes for sale within a fifteen mile radius of the company

Not interestedVery interested

12345

b.Participating in home buyer education seminar at the company to learn about the home buying process and various programs

Not interestedVery interested

12345

c.Meeting one-on-one with a housing counselor to talk about your specific situation and how you could go about buying a home or condo

Not interestedVery interested

12345

d.Receiving some kind of down-payment assistance from the company to help you qualify for a mortgage

Not interestedVery interested

12345

Please drop your filled out survey before [date], in the “Homeownership Program” box located in the [place].

The information contained in this survey is strictly confidential and it will be used only to evaluate your housing situation and to determine how the Human Resources Department can be responsive to your individual needs.

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