Fair Chance Housing Survey
Thank you for filling out Benevolence Farm's survey to better understand the housing experiences of people with criminal records in Alamance County. All answers are kept confidential and no question is required. If you have any questions about the survey or advocacy efforts, please contact Katie at katie@benevolencefarm.org
Name
First Name
Last Name
Age
Race (Check all that apply)
American Indian or Alaska Native (e.g., Navajo Nation, Blackfeet Tribe, Inupiat Traditional Gov't., etc.)
Asian or Asian American (e.g., Chinese, Japanese, Filipino, Korean, South Asian, Vietnamese, etc.)
Black or African American (e.g., Jamaican, Nigerian, Haitian, Ethiopian, etc.)
Hispanic or Latino/a (e.g., Puerto Rican, Mexican, Cuban, Salvadoran, Colombian, etc.)
Middle Eastern or North African (e.g., Lebanese, Iranian, Egyptian, Moroccan, Israeli, Palestinian, etc.)
Native Hawai`ian or Pacific Islander (e.g., Samoan, Guamanian, Chamorro, Tongan, etc.)
White or European (e.g., German, Irish, English, Italian, Polish, French, etc.)
Prefer not to say
Other
Gender Identity (Check all that apply)
Gender nonconforming
Genderqueer
Man
Woman
Nonbinary
Trans woman
Trans man
Sexual Orientation (Check all that apply)
Asexual
Bisexual
Gay
Heterosexual or straight
Lesbian
Queer
Questioning
Prefer not to say
Do you identify as a parent?
Yes
No
Prefer not to say.
In which city/town do you currently reside?
How many people currently live in the same household with you, including yourself?
What is your experience with the criminal legal system. Select all that apply.
Misdemeanor record
Felony record
Unsupervised probation (active or past)
Supervised probation (active or past)
Incarcerated in jail
Incarcerated in prison
Incarcerated in immigration detention
Did you lose your housing while you were incarcerated?
Yes
No
Not applicable to my situation.
Other
Are you on the sex offender registry?
Yes
No
I'd rather not say.
I'm no longer on the registry.
How many years total are you on the sex offender registry?
Do you have any restrictions on where you can live? If yes, what are they?
What is your current housing situation?
I currently rent under my name from a private landlord or housing agency.
I currently rent under my name from a government housing agency.
I own my own home.
I live with a partner, family or friends in housing under their name.
I am not sure where I am residing most of the time.
Other
Have you ever had a lease agreement in your name?
Yes
No
I'm not sure.
How did that lease agreement end? Why did you leave?
How long ago did the lease end?
Approximately, how much was monthly rent?
If you recall, approximately how much was the security deposit?
Did you get your security deposit back?
Yes
No
I got some of it back.
I don't recall.
Do you have an eviction on your record?
Yes
No
Have you ever been denied housing because of your criminal record?
Yes
No
I'm not sure.
What do you find the most difficult part about finding housing?
Have you been charged more in security deposits or upfront rent because of your criminal record?
Yes
No
Maybe
I'm not sure.
Have you ever been evicted or removed from your housing because of an arrest that happened while living at your home?
Yes
No
What other barriers have you faced when it comes to finding safe and secure housing?
Have you ever been late or missed a rental payment?
Late payment
Missed payment
Both
Neither one
Are you currently seeking a new place to live?
Yes
No
Maybe
Approximately how much have you budgeted to pay in application fees?
What is your budget for monthly rent?
What is your budget for a security deposit?
Have you been told you must earn a certain amount above the listed rent?
Yes
No
I don't know
If yes, how many times more must you earn than the rent?
For example, if the rent is $1,000 and you are asked to earn more than 2x the rent, then you'd have to make at least $2,000 monthly
What do you wish you knew before starting this housing search?
What is your ideal housing situation?
What do you need to obtain that ideal housing?
Have you ever applied for financial assistance to afford rent or other housing necessities (ex. utilities)?
Yes
No
Not sure
I'd rather not say
What would make it easier for you to secure stable housing?
As a person with a criminal background, what do you want property management companies and landlords to know about your experience renting?
How would you describe your experience overall of finding housing with a criminal record?
How well would you say you know what is expected of you during the process of applying for rental property?
I do not know at all.
1
2
3
4
I know very well.
5
1 is I do not know at all., 5 is I know very well.
How confident are you when reading and understanding a lease agreement?
Not confident at all
1
2
3
4
Very confident
5
1 is Not confident at all, 5 is Very confident
How confident are you in knowing what is your responsibility as a tenant versus that of the landlord?
Not confident at all
1
2
3
4
Very confident
5
1 is Not confident at all, 5 is Very confident
How well do you feel you know your rights as a tenant?
Not well at all
1
2
3
4
Very well
5
1 is Not well at all, 5 is Very well
If you've applied for financial assistance for housing, how easy did you find the process?
Very hard
1
2
3
4
Very easy
5
1 is Very hard, 5 is Very easy
When would you go to your landlord regarding a problem with your rental property?
What would you do if the landlord was not addressing your housing concerns?
Can Benevolence Farm contact you about your housing experience?
Yes
No
Do you prefer to be called, texted, or e-mailed?
Call
Text
E-mail
Email
example@example.com
Phone Number
Please enter a valid phone number.
Submit
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