Hurricane Resistant Home Improvement Program

Appendix A: Survey Form / Questionnaire

PERSONAL

(1) AGE: _____________________

(2) SEX: M / F

(3) MARITAL STATUS: M / S / D / F

(4) OCCUPATION: __________________ (5) FULL TIME/ PART TIME

(6) INCOME FREQUENCY: Weekly Fortnightly Monthly Otherwise

(7)

(8) Do you have any sources of income? _________________________

HOUSE

(9) What type of house do you own?

(a) Wooden (b) Concrete ( c) Wooden/Concrete (d) Other: __________

(10) How many rooms are in the house?

(a) 1 Room (b) 2 Rooms ( c) 3 Rooms (d) More: ______

(11) Who owns the house?

(a) Self (b) Family (c ) Friend (d) Other (specify): _____________

(12) Is the house insured?

Yes / No

(13) How many persons live in the house?

(a) 3 (b) 4 - 6 (c ) 7 - 9

(14) How many in the household work? ______________

HOUSE OWNERS

(15) How was the house constructed?

(a) Contractor (b) Workers (c ) Self-Help (d) Other: ______________

(16) How much did your house cost to constructed?

(a) Under 20,000 (b) 20,001 - 40,000 (c ) Over 40,000

(17) Has your house ever been struck by hurricane? Yes / No

(18) If yes, what section was damaged?

(a) Roof (b) Walls (c) Other

(19) How would you rate house safety during a hurricane?

(a) Unsafe (b) Slightly Safe (c) Safe (d) Very Safe

(20) Can the house be made Safe? Yes / No

(21) If yes, how? Reinforcing Roof  / Other _________________

(22) What are the major constraints in making your house safer?

(a) Money (b) Contractor (c) Time (d) Other: _____________

(23) If loans were available at any of the following would you accept?

(a) Credit Unions (b) Banks (c) National Development Foundation (d) Others: ________

(24) If loans were available, what type of loan would you like?

(1) Size: (a) Under 1000 (b) 1001-2000 (c) 2001-3000

(2) Duration: (a) Under 6 mths (b) 7 mths - 12 mths (c) 13 mths-18 mths (d) Above 18 mths

(3) Security: (a) Cash (b) Guarantor (c) Bill of Sale (d) Other: ____________

(25) Would you be interested in loans for repairs of other sections of your house? Yes / No

(26) If yes, which sections?

(a) Foundation (b) Walls (c) Other: __________