Housing Trust Silicon Valley Survey
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Job Title:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Age:

Required 2.

Please select the gender you identify with:  

Female
Male
Non-binary
Required 3.
Please specify the race you identify with:
White (i.e. German, Irish, English, Italian, etc.)
Hispanic, Latino, or Spanish origin (i.e. Mexican, Puerto Rican, Cuban, etc.)
Black or African American (i.e. African American, Jamaican, Haitian, etc.)
Asian (i.e. Asian Indian, Chinese, Filipino, Vietnamese, Korean, etc.)
American Indian or Alaska Native (i.e. Navajo Nation, Blackfeet Tribe, Nome Eskimo Community, etc.)
Middle Eastern or North African (i.e. Lebanese, Iranian, Egyptian, Assyrian, Moroccan, etc.)
Native Hawaiian or other Pacific Islander (i.e. Native Hawaiian, Samoan, Tongan, etc.)
Required 4.
Please select one of the applicable categories that best describes your participation in this workshop:
Homeowner
Industry Professional (i.e. designer, builder, real estate professional, lender, etc.)
Public Official (i.e. elected, appointed or director level)
Public Staff
Required 5.
Please indicate total household income based on the number of persons living in your home by selecting the letter that applies to you (i.e. if you have a family of four, two adults and two kids, and your combined income is $120,000 you will select D):                                                  
A
B
C
D
E
Required 6.

Please state the city were you wish to build an accessory dwelling unit (ADU): 

 

50 characters left.
Required 7.
How far into the development process are you with building your ADU?


Haven't begun
Started looking at designs ( idea phase)
Hired a designer
Plans are being reviewed by city staff
Plans are approved and permit ready, but have not yet paid fees
Bidding out project to general contractors
Looking for financing
Currently in construction
Construction nearly finished
Construction completed and have final sign-off (certificate of occupancy)
Leased and occupied
Required 8.

What are the primary reasons for building / wanting to build an ADU?

To generate additional income as a rental property
To create a living space for a younger family member
To create a living space for an older family member (55+)
To create a living space for myself as I intend to rent out the main house
To create a living space for an intellectually and/or disabled family member
Other  
Required 9.
Please review the following acknowledgements and confirm by entering your full name and date below

I understand that in order to participate in the Small Home | Big Impact program, I agree to partake in surveys provided by Housing Trust Silicon Valley.

I understand that there are educational requirements (ADU workshop and property management class) to qualify for financial assistance. Planning grants or any loans will require separate agreements. 

I understand that workshops may be video recorded for the purposes of in-house training, promotions and e-learning. I hear-by consent to being recorded and maybe interviewed without receiving any compensation. 

 

50 characters left.
10.
Any additional comments or questions you would like to share/ask regarding ADUs?
 

350 characters left.