Township of Lower Merion, PA - CONFIDENTIAL RESIDENT QUESTIONNAIRE FY 2025-2029 Five Year Consolidated Plan, FY 2025 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice Survey

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* 1. What street do you live on in Lower Merion?

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* 2. What is the name of the town or borough you live in?

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* 3. What is your gender?

Male

Female

Prefer Not to Say

Other (please specify)

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* 4. What is your race? Please choose all that apply.

White

Black or African American

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Some Other Race

Prefer Not to Say

Other (please specify)

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* 5. What is your Ethnicity?

Hispanic or Latino

Not Hispanic or Latino

Prefer Not to Say

Other (please specify)

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* 6. What is your age group?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

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* 7. How many people are living in your household?

One

Two

Three

Four

Five

Six or More

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* 8. Based on the number of persons living in your household, mark whether your household income is more or less than the listed income:

	More	Less	N/A
1-Person Household - $64,250	1-Person Household - $64,250 More	1-Person Household - $64,250 Less	1-Person Household - $64,250 N/A
2-Person Household - $73,400	2-Person Household - $73,400 More	2-Person Household - $73,400 Less	2-Person Household - $73,400 N/A
3-Person Household - $82,600	3-Person Household - $82,600 More	3-Person Household - $82,600 Less	3-Person Household - $82,600 N/A
4-Person Household - $91,750	4-Person Household - $91,750 More	4-Person Household - $91,750 Less	4-Person Household - $91,750 N/A
5-Person Household - $99,100	5-Person Household - $99,100 More	5-Person Household - $99,100 Less	5-Person Household - $99,100 N/A
6-Person Household - $106,450	6-Person Household - $106,450 More	6-Person Household - $106,450 Less	6-Person Household - $106,450 N/A

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* 9. What is your current housing status?

Homeowner

Renter

Homeless

Living with friends/relatives

Temporary Shelter

Hotel/Motel

Mobile Home

Vehicle

Other (please specify)

Township of Lower Merion, PA - CONFIDENTIAL RESIDENT QUESTIONNAIRE FY 2025-2029 Five Year Consolidated Plan, FY 2025 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice

Question Title

* 1. What street do you live on in Lower Merion?

Question Title

* 2. What is the name of the town or borough you live in?

Question Title

* 3. What is your gender?

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* 4. What is your race? Please choose all that apply.

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* 5. What is your Ethnicity?

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* 6. What is your age group?

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* 7. How many people are living in your household?

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* 8. Based on the number of persons living in your household, mark whether your household income is more or less than the listed income:

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* 9. What is your current housing status?

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* 10. Identify housing/rental issues you have observed in the Township of Lower Merion (Check all that apply):

Township of Lower Merion, PA -
CONFIDENTIAL RESIDENT QUESTIONNAIRE
FY 2025-2029 Five Year Consolidated Plan, FY 2025 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice