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* 1. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

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* 2. Do you have any caring responsibilities in your personal life (i.e. not for work) in and/or outside of your household and/or family? Caring responsibilities may be short term, e.g. supporting someone with recovery following an accident, or long term, e.g. helping someone with a long-term illness.

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* 3. Gross HOUSEHOLD income is the combined income of all those earners in a household from all sources, including wages, salaries, or rents and before tax deductions. What is your current gross household income?

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* 4. Do you own or rent the home in which you live?

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* 5. What is the monthly rent of your current home?

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* 6. Does your household receive any financial help from the government towards rent payments, for example housing benefit or universal credit?

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* 7. Does the amount of help you receive towards housing costs cover the rent in full?

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* 8. How much is the shortfall that must be paid per month between Housing Benefit / Universal Credit and full rent?

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* 9. On a scale of 0-10, where 0 is ‘very low’ and 10 is ‘very high’, in general how low or high do you rate the level of rent that your household pays?

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* 10. If you have experienced a rent increase in your current home, how much was the most recent monthly increase?

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* 11. On a scale of 0 to 10, where 0 is ‘very difficult’ and 10 is ‘very easy’, how difficult or easy is it to afford the rent that your household pays? 

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* 12. Have you fallen into rent arrears at any point over the past 12-month period?

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* 13. Suppose that the amount of rent your household pays was frozen for a period of up to four years. On a scale of 0 to 10, where 0 is ‘very difficult’ and 10 is ‘very easy’, how difficult or easy would it be for your household to afford the rent?

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* 14. Suppose that the amount of rent your household pays was reduced by 2% for a period of up to four years (e.g. a 2% cut to a monthly rent of £700 is worth £14 per month). On a scale of 0 to 10, where 0 is ‘very difficult’ and 10 is ‘very easy’, how difficult or easy would it be for your household to afford the rent?

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* 15. Suppose that the amount of rent your household pays was reduced by 5% for a period of up to four years (e.g. a 5% cut to a monthly rent of £700 is worth £35 per month). On a scale of 0 to 10, where 0 is ‘very difficult’ and 10 is ‘very easy’, how difficult or easy would it be for your household to afford the rent?

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* 16. Suppose that the amount of rent your household pays was reduced by 10% for a period of up to four years (e.g. a 10% cut to a monthly rent of £700 is worth £70 per month). On a scale of 0 to 10, where 0 is ‘very difficult’ and 10 is ‘very easy’, how difficult or easy would it be for your household to afford the rent?

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* 17. Based on your answers you may qualify to participate in further research. This would involve a discussion with us over a 20-30 minute telephone or video call in return for a £50 shopping voucher. If you are interested, please enter your preferred method of contact below (e.g. email address, telephone number).

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* 18. Please share any other comments you have below:

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