Survey on Health & Urban Housing in Sungai Way

* Required

1. Please provide your name *

2. Please state your age *

3. Please state your nationality & race (if Malaysian). *

4. Please state your gender *

Mark only one oval.

Male

Female

5. What is your occupation? *

6. Where do you work? *

7. Where do you stay? *

8. What is your household income range? *

Mark only one oval.

B40 : < RM4850

M40 : RM4850 - 10970

T20 : > RM10970

9. How would you rate your current quality of life *

Mark only one oval.

1 2 3 4 5

Least Satisfied Most Satisfied

10. Do you think the provision of residential housing here is sufficient and up to livable
standards? *

Mark only one oval.

Yes. (please proceed to question 11)

No. (please proceed to question 12)

11. Which residential housing types here are acceptable for you? (if you answered Yes
in question 10)
12. What types of residential housing do you recommend to be added in this area? (if
you answered No in question 10)

13. Do you think that the environment here is good for the health of the residents? *

Mark only one oval.

Yes

No (Please state below what you wish to be improved environmentally)

Other:

14. What amenities do you think can benefit the residents here? *

15. Does the current transportation situation affect you negatively? *

Mark only one oval.

Yes

No (Please proceed to question 17)

16. What are the cons of the current transportation situation? (if you answered Yes in
question 15) You may select more than 1 answer.
Check all that apply.

Noise
Accessibility
Air pollution
Lack of public transport facilities
Too many private vehicles
Not pedestrian and/or cyclist friendly
Other:

17. What is the travel mode you prefer? You may select more than 1 answer. *
Check all that apply.

Walking
Cycling
Driving
Public Transportation (Bus, LRT, MRT, etc.)
E-hailing (Grab, etc.)
Taxi
Other:

18. Do you think the local services here (shops, healthcare, education, etc.) are
convenient enough? *

Mark only one oval.

Yes

No (Please indicate below what services you wish to have)

Other:
19. What kind of activities do you spend the most of your time here? *

20. How do you rate the crime situation / safety level here? *
Mark only one oval.

1 2 3 4 5

Very unsafe Very safe

21. Are you comfortable with your current housing unit? *

Mark only one oval.

Yes

No (Please state below what aspect of the house needs improvement)

Other:

22. Do you consider your house to be safe for the elderly / disabled person? *

Mark only one oval.

Yes

No (Please state below what aspect of the house needs improvement)

Other:
23. Has your health been affected by poor indoor material quality (mold, fungus,
cracked paint, poor flooring, etc.) *

Mark only one oval.

No

Yes (Please state below what are the health hazards)

Other:

24. Do you rent or own the property you are staying in currently? *

Mark only one oval.

Rent

Own

25. What are the factors contributing to your answer in question 24? You may select
more than 1 answer *
Check all that apply.

Unable to afford owning a house

Away from actual home
Earning enough to afford owning a house
Earning enough to afford owning multiple houses
Does not like the idea of buying a house
Does not have a reason to buy a house
Inheritance of house from the previous generation
Preparing inheritance of house for the next generation
Other:

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