Attachment D Mass LEAP Resident Survey Required Questions

Attachment D: Resident Survey

These are the questions that must be asked in the Tenant Survey. You may include additional questions, but you must have tenants respond to these questions. You may send this survey out as an Excel or Word document. Answers must be compiled and submitted with your application.

Notice: This is an important document, please have it translated.

Date: ______

(Insert Housing Agency Name Here) is applying for funding for an exciting new program called Mass Learning, Employment and Assets Program (Mass LEAP). Mass LEAP will provide participants with services and supports to help them set and reach goals in education, career and employment planning, and saving for yourself and your family (up to $15,000). Being part of Mass LEAP will not change your housing status with us. We are conducting a survey to help us understand your possible interest in this program.

Please take a few moments to answer these questions. Your feedback will be an important part of our application for funding!

Part One: Employment and Career

Are you currently working? Yes__ No__

If yes, do you work full-time (more than 32 hours per week) ___

Part-time (less than 32 hours per week) ___

If you are not working, when did you last work?

Less than six months ago __ More than six months ago __ More than a year ago __

More than three years ago __

If you are working, when you think about your job are you happy or unhappy about the following:

How much you earn Happy Unhappy

Your work schedule Happy Unhappy

Your benefits (vacation and sick days, insurance etc.) Happy Unhappy

Your future at work Happy Unhappy

Part Two: Education

Do you have a high school diploma or GED Yes __ No__

Have you attended college Yes __ No__

If yes did you complete an Associate’s Degree __, Bachelor’s Degree __, or Masters/PhD __

When you think about your future and college, which of these statements do you agree with

(Check all that apply)

__I plan to finish my degree

__I’d like to go back but can’t afford it

__It has been so long since I was in school I don’t think I could do it

__I would like to go to school but I don’t know how to start

__I would if I had help with childcare, transportation, and other needs

__College is not for me

Other ______

Part Three: Money and Savings

Do you have a bank account Yes __ No__

Checking __ Savings__

Do you keep to a budget Yes __ No __ Sometimes__

Do you sometimes fall behind on bills Yes__ No__

Do you wish you could save more money Yes__ No__

Mass LEAP is a new and exciting program available to help people build a stronger future for themselves and their families. It will provide supports and planning for you in your career, education, and financial future. If this program were available to you here, would you be:

__Very interested

__Somewhat interested

__Interested but need more information

__Not at all interested

If not interested, why not? Please check that apply.

__I’m fine with my life right now

__My family and work keep me busy

__I am worried about the time it would take

__I don’t have the support I need to be part of this – childcare, transportation, money for school.

Thank you for your help!