Community Needs & Impediments to Fair Housing Survey- Pike County, Ohio

Demographic Questions

Questions 1-10 are the general demographic questions. These questions are asked to help us generate survey results based on demographic characteristics of the respondents. This survey is Anonymous.

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* 1. What is your gender?

Female

Male

Other (specify)

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* 2. What is your 5-digit zipcode?

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* 3. What is your racial or ethnic identity? (Select all that apply.)

African-American/Black

East Asian

Hispanic/Latinx

Middle Eastern

American Indian/Alaskan Native

Pacific Islander

South Asian

Southeast Asian

White

Other (please specify)

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* 4. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 5. What is your total annual household income before taxes in the most recent tax year?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* 6. Which of the following best describes your current relationship status?

Married

Widowed

Divorced

Separated

Cohabiting with a significant other or in a domestic partnership

Single, never married

Prefer not to answer

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* 7. Besides yourself, do you have any of the following people living in your household?

Persons under 18

Persons 18-30

Persons 31-60

Persons 61+

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* 8. How many people live in your household, including yourself?

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* 9. Does any disability, handicap, chronic disease keep you and/or family member from participating in work, school, housework or other activities?

Yes

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* 10. Which of the following categories best describes your employment status?

Employed, working full-time

Employed, working part-time

Not employed, looking for work

Not employed, NOT looking for work

Retired

Disabled, not able to work