Client/Tenant Housing Survey Question Title * 1. Which county are you currently living in? Addison Bennington Caledonia Chittenden Essex Franklin Grand Isle Lamoille Orange Orleans Rutland Washington Windham Windsor Other (please specify) Question Title * 2. What is your age group? <18 18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60 + Question Title * 3. Where are you living? Short term (emergency shelter, motel, camping, couch-surfing, staying with friends) Temporary (transitional housing program) Renting (with a lease) or own Other (please specify) Question Title * 4. What is the longest time you have ever stayed in stable permanent housing? Question Title * 5. Why did you leave that housing? Question Title * 6. Please identify the degree to which the following barriers have prevent(ed) you from obtaining permanent housing: Not a barrier Minor barrier Moderate barrier Severe barrier Transportation Transportation Not a barrier Transportation Minor barrier Transportation Moderate barrier Transportation Severe barrier Physical access Physical access Not a barrier Physical access Minor barrier Physical access Moderate barrier Physical access Severe barrier Rent too expensive Rent too expensive Not a barrier Rent too expensive Minor barrier Rent too expensive Moderate barrier Rent too expensive Severe barrier Poor credit Poor credit Not a barrier Poor credit Minor barrier Poor credit Moderate barrier Poor credit Severe barrier Bad landlord references Bad landlord references Not a barrier Bad landlord references Minor barrier Bad landlord references Moderate barrier Bad landlord references Severe barrier Mental Illness Mental Illness Not a barrier Mental Illness Minor barrier Mental Illness Moderate barrier Mental Illness Severe barrier Domestic violence Domestic violence Not a barrier Domestic violence Minor barrier Domestic violence Moderate barrier Domestic violence Severe barrier Not enough money Not enough money Not a barrier Not enough money Minor barrier Not enough money Moderate barrier Not enough money Severe barrier No childcare No childcare Not a barrier No childcare Minor barrier No childcare Moderate barrier No childcare Severe barrier Lack of services Lack of services Not a barrier Lack of services Minor barrier Lack of services Moderate barrier Lack of services Severe barrier No employment No employment Not a barrier No employment Minor barrier No employment Moderate barrier No employment Severe barrier Criminal History Criminal History Not a barrier Criminal History Minor barrier Criminal History Moderate barrier Criminal History Severe barrier Alcohol or drug use Alcohol or drug use Not a barrier Alcohol or drug use Minor barrier Alcohol or drug use Moderate barrier Alcohol or drug use Severe barrier Discrimination Discrimination Not a barrier Discrimination Minor barrier Discrimination Moderate barrier Discrimination Severe barrier Other Other Not a barrier Other Minor barrier Other Moderate barrier Other Severe barrier Other or Discrimination (please specify) Question Title * 7. What services or resources have been most helpful to you in getting and/or keeping housing? Done