Lawrenceburg Owner-Occupied Rehabilitation (OOR) Survey City of Lawrenceburg Question Title * 1. What is your name (optional) Question Title * 2. What is the address of the property needing repairs? Question Title * 3. Are you the property owner? (mortgage or deed holder, life estate only, no land contracts) Yes No Question Title * 4. Do you occupy the property as your primary residence? Yes No Question Title * 5. (Check all the apply) I am: Veteran Disabled 55+ senior citizen Single parent head of household None of the above Question Title * 6. Rehabilitation Need (check all that apply) My house is in need of repairs done to my: Roof Gutters and/or downspouts Ramp for handicap access HVAC replacement Electrical upgrades Water heater replacement No repairs needed Other (please specify) Question Title * 7. Do you have enough disposable income to pay for needed repairs? Yes No Question Title * 8. Are there hazards in your house which affect your safety? Question Title * 9. Would you have to move out if the issues are not rehabilitated? Yes No Question Title * 10. How old is your home? Less than 10 years 10-20 years 20+ years Question Title * 11. How long have you had issues with your home? 1-3 years 4-8 years 9-12+ years Question Title * 12. Have you tried to get needed repairs paid for by other means? Yes No Question Title * 13. Do you have pictures of issues with your home you’d be willing to share with us? Yes (If yes, please write down the contact information at the end of the survey) No Question Title * 14. Do you support Lawrenceburg’s application for OOR funds? Why or why not? Send pictures to Victoria Bechert, victoria.bechert@sirpc.org or mail copies to:SIRPCPO Box 765Versailles, IN 47042 Done