Little Waltham Parish Council are working with the Rural Housing Enabler to further refine the scope for the local needs affordable housing scheme in the parish.

If you or anyone else living in your home is in need of alternative housing or have moved away and wish to return to live in Little Waltham Parish, please complete this survey. Please complete one form per household in housing need.

This survey does ask for some sensitive information, but this is treated confidentially and individual responses will not be shared with anyone other than the Rural Housing Enabler. Only anonymised and aggregated information will be passed to the Parish Council.

Thank you for taking part in the survey.

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* 1. Is this your main home?

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* 2. Did you respond to the original Housing Needs Survey distributed towards the end of 2019?

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* 3. How would you describe your home?

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* 4. How many bedrooms does your home have?

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* 5. Who owns your home?

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* 6. How many years have you lived in this parish?

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* 7. Please complete the table below to show the age and gender of all those living in your home.

  Gender Age
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6

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* 8. Have any members of your family moved away from the parish in the last 5 years, due to not being able to find a suitable home locally either open market (owned or rented) or council/housing association?

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* 9. Do you, or anyone living with you, need to move to alternative accommodation, either open market or affordable?
A separate survey should be completed for each new home needed. (e.g. if two people living with you need to move to alternative accommodation and would be seeking a home each we would ask that they complete separate surveys).

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* 10. Please add any additional comments here

Please only complete the next questions if you answered yes to question 9. If you have no need to move please tick done at the bottom of the screen

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* 11. When do those requiring accommodation need to move from this home?

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* 12. Who owns your current home?

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* 13. If you could stay in/move back to the village which would you be seeking to do?

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* 14. Are you on the local council housing register or waiting list?

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* 15. What type of accommodation would meet your needs?

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* 16. How many bedrooms do you require?

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* 17. Does anyone requiring alternative accommodation have specific* housing needs?
* Layout & design adapted for access e.g. wheelchair access, ground floor etc

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* 18. If yes please give brief details

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* 19. What is your main reason for needing to move?

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* 20. Please indicate the age, gender and relationship of each person requiring to move.
(i.e. Those who will make up the NEW household and their relationship to each other)

  Gender Age Relationship to person 1
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6

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* 21. What type of household will the NEW household be?

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* 22. Will the NEW household be claiming Housing Benefit / Universal Credit?

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* 23. Which of the following best describes your current situation?

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* 24. What is the gross monthly income, including benefits, of those in the NEW household responsible for the cost of housing?

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* 25. Do you have savings which may be used to contribute towards the cost of a new home?

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* 26. Would you expect to have any EQUITY from your current home(s) which may be used to contribute towards the cost of a new home?

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