Housing Needs Assessment 2006 - Westminster City Council

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D SPECIAL NEEDSD1. Do you or any of your household have any of the following special needs? SHOW CARDD1 IF ANYONE FITS INTO MORE THAN ONE SPECIAL NEED GROUP, THEN CIRCLE MORETHAN ONE NUMBER FOR THAT PERSON. IF THERE ARE MORE THAN THREE PEOPLEWITH SPECIAL NEEDS PLEASE ANSWER FOR THOSE THREE WITH THE MOSTSIGNIFICANT NEEDS. IF THERE ARE NO SPECIAL NEEDS MEMBERS, PLEASE TICK HERE AND GO TO QUESTION E1.(n.b ordinary housing is housing without aids or adaptations specific to the need)5First Second ThirdPerson Person PersonFrail elderly .................................................................................................. 1................ 1 ................1A physical disability...................................................................................... 2................ 2 ................2A learning disability ...................................................................................... 3................ 3 ................3A mental health problem .............................................................................. 4................ 4 ................4Severe sensory disability ............................................................................. 5................ 5 ................5Other ............................................................................................................ 6................ 6 ................6D2. How could the accommodation or services for their (your) special needs best be improved?Please also say if you already have these improvements.Need No AlreadyNeed havea) Wheelchair access ................................................................................... 1..............2 .............3b) Single-level accommodation .................................................................... 1..............2 .............3c) Downstairs WC......................................................................................... 1..............2 .............3d) Handrails/ Extra handrails ........................................................................ 1..............2 .............3e) Low level light switches or raised power points........................................ 1..............2 .............3f) Low level kitchen units (including sink) or lever taps................................ 1..............2 .............3g) Level access shower unit ......................................................................... 1..............2 .............3h) Lift/stair lift ................................................................................................ 1..............2 .............3i) Emergency alarm ..................................................................................... 1..............2 .............3j) Car parking space near to front door of home.......................................... 1..............2 .............3k) Other alterations/adaptations ................................................................... 1..............2 .............3l) More support services to your present home (eg home carer, meals on wheels) 1..............2 .............3m) Need to move to alternative housing with specialist adaptations ............ 1..............2n) Need to move to alternative housing with specialist care/support............ 1..............2E TENURE AND HOUSING COSTSE1. Is your current accommodation: SHOW CARD E1GO TO:Owner occupied (own outright) ........................................................... 01....................................... F1Owner occupied (with a mortgage or loan) ......................................... 02....................................... E3Rented from the Council ..................................................................... 03....................................... E3Rented from a Housing Association.................................................... 04....................................... E3Rented from a private landlord or letting agency ................................ 05....................................... E2Rented from a relative or fiend of a household member..................... 06....................................... E2Tied or linked to a job.......................................................................... 07....................................... E3Shared ownership*.............................................................................. 08....................................... E3: _________________________________________ 09....................................... F1* Shared ownership schemes are designed to help people who wish to buy a home of their own but cannot afford it.The schemes involve buying a share in a property with a Housing Association and paying rent on the remainder.E2. Does the Council own the freehold for this property?Yes.....................................................................................................................................................1No ......................................................................................................................................................2E3. Please state whether you rent from…
An individual................................................... 1A company ..................................................... 2Other .............................................................. 3E4. Is your current home temporaryaccommodation?Yes................................................................. 1No .................................................................. 2E5. Housing Costs: SHOW CARD E5RENTERS: What is your current weekly ormonthly rent? (If you receiveHousing Benefit, state the fullrent charged by the landlordbefore any refunds).OWNERS: How much do you as ahousehold have to pay for yourmortgage each month(including any endowmentpremiums etc.)?Please include any service chargesIF SHARED OWNERSHIP PLEASE READBOTH QUESTIONS ABOVE AND PROVIDETHE ANSWER FOR TOTAL OUTGOINGS(I.E. RENT AND MORTGAGE COMBINED).WeeklyMonthlyNone ...................... None ............................01Under £59 .............. Under £255..................02£60 - £199.............. £256 - £515 .................03£120 - £179............ £516 - £775 .................04£180 - £239............ £776 - £1,035 ..............05£240 - £299............ £1,036 - £1,295 ...........06£300 - £359............ £1,296 - £1,555 ...........07£360 - £419............ £1,556 - £1,815 ...........08£420 - £479............ £1,816 - £2,075 ...........09£480 - £539............ £2,076 - £2,335 ...........10£540 or more.......... £2,336 or more ............11...............................................11 ...................................................12E6. BenefitsF FUTURE HOUSING INTENTIONSF1. Is your household on the HousingRegister (i.e. the Council's WaitingList/Transfer List) or a HousingAssociation Waiting/Transfer List?Yes................................................................. 1No .................................................................. 2................................. 6...........G1F4. How many bedrooms would you like?
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CITY OF WESTMINSTER2006 HOUSING NEE
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