LVCLT Veteran Outreach Survey
Answers marked with a * are required.
 
1. What is the identifying letter on the corresponding map?
 
 
 
2. What is your current Zipcode?
 
 
 
3. What is your age?



      

 
 
 
4. Which branch(es) of the armed forces did you serve in?





      
 
 
 
5. When were you discharged?
 
 
 
6. What industry do you work in?





      

 
 
 
7. What is your yearly income?





      

 
 
 
8. What is your household yearly income?





      

 
 
 
9. Do you receive income from the Veteran's Administration?

      

 
 
 
10. What is your current living situation?


      

 
 
 
11. If you are currently paying rent, how much do you pay per month?
 
 
 
12. How do you get from your home to work?




      

 
 
 
13. How long does it take you to get from your home to work?
 
 
 
14. What is your highest level of education?





      

 
 
 
15. Please select one or more statements which best describe your racial composition:






      
 
 
 
16. Please select the family type that best describes your family type:





      

 
 
 
17. How many adults are currently living in your house? 
 
 
 
18. How many children under 18 currently live with you?  (if none, write 0)
 
 
 
19. Where would you want to live?





      
 
 
 
20. Where would you want to live?


      
 
 
 
21. What percent of your neighbors would you want to be Veterans?





      

 
 
 
22. What is important to you with home ownership?
 
 
 
23. How many bedrooms would you need?
 
 
 
24. How many bathrooms would you need?
 
 
 
25. How important is each of these features to a house?
  Not important at all Somewhat Important Important Very Important Extremely Important
Energy Efficiency
2nd Floor Laundry
1st Floor Bathroom
Deck
Extra Storage
Hardwood Floors
Spacious Closets
Dishwasher
Bigger Backyards
Air Conditioning
Off Street Parking
Garage
 
 
 
26. Would you be interested in finding out more information regarding the Lehigh Valley Community Land Trust (LVCLT)?

      

 
 
 
27. Would you be interested in becoming involved with the Lehigh Valley Community Land Trust (LVCLT)?

      

 
 
 
28. If you would like to receive more information or become involved with the Lehigh Valley Community Land Trust, please leave your phone number and/or e-mail. 
 
 
           
 

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