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HAPGC 2021 Occupancy Survey

  1. The Housing Authority of Prince George’s County needs your input. We’re conducting a survey to find out what your needs are and how we may provide services to better assist you. Your input is appreciated. Please be advised that the information collected here is solely for surveying purposes and services/assistance is not guaranteed and the information will not be used against you.

  2. Survey Code can be found on the first page of the letter you received

  3. If applicable, include Unit#

  4. Email Consent

         I understand this authorization is not exclusive and I can revoke it any time upon receipt by the HAPGC property manager or case worker of my dated written request to revoke email authorization.

  5. 1. Do you or a member of your household have a disability?*
  6. 2. Does your current unit have any accessible features (i.e. lowered countertop, walk-in shower, grab bars in the bathroom, raised commode, widened doorways, ramp, flashing door bell, etc.)? *
  7. 3. If yes, are the features mobility or sensory? (check all that apply)
  8. 4. If you or a family member has a disability, do you or your family member find it challenging to navigate your unit?*
  9. 5. Do you have access to the Internet at home?*
  10. 6. If available, would you like help with these job-search related activities? (Check all that apply)*
  11. 7. How much education have you obtained?*
  12. 8. Do you or a family member need assistance with any of the following? (Check all that apply)*
  13. 9. Do you need assistance with any of the following? (Check all that apply)*
  14. 10. Do you need access to childcare?*
  15. 11. Have you signed a lease renewal that notifies you that you are required to move, if your unit is needed by someone who needs certain accessible features in your current unit?*
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