TOKA Housing Survey 2015 TOKA Housing Survey 1. Gender: Male Female 2. Are you a member of a Federal Recognized Indian Tribe, name of Tribe: District (If Tohono O'odham Tribal Member) 3. Age Range (please check range) 18-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61plus 4. How many individuals (including yourself) live in your household? 1 - 2 3 - 4 4 - 5 More than 5 5. What is your total household income? $0 - $24,999 $25,000 - $49,999 $50,000 - $74,999 $75,000 or more 6. What is your current housing situation? Rent Homeowner Living with family I have no place to live 7. If renting or paying mortgage, what is your monthly payment? $100-$299 $300-$499 $500-$699 $700-$899 $900-$1099 $1,100-$1299plus 8. Do you currently live on the Tohono O'odham Nation? Yes No If No, what city or town do your reside in? 9. On a scale of 1 to 10. 1 being least likely and 10 being extremely likely. How interested would you be in owning your own home? 10. On a scale of 1 to 10. 1 being least likely and 10 being extremely likely. How likely would it be that you could afford a mortgage payment? 11. On a scale of 1 to 10. 1 being least likely and 10 being extremely likely. How interested would you be in renting a rental unit from TOKA? 12. If you could choose between renting a home or buying a home what would you choose? Rent a home Purchase a home 13. Would you be willing to participate in any of the following programs? (Choose all that apply) Preparing for homeownership Money management Credit basic Section 184 Loan Guarantee Program 14. What is your current employment status? Employed Full-Time Employed Part-Tie Unemployed Seasonal Self Employed Student Retired If employed, who is your employer? What is you level of Education? Elementary (K-8) High School Diploma / GED Associates Degree Bachelors Degree Some High School Some College Vocation Training School Other (Master, etc.) CommentsContact Information First Last Any information provided will be used for the Tohono O'odham Ki:Ki Association future planning. We will not release any information obtained from this surveyAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Δ