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This survey consists of 35 questions and takes around 10 minutes to complete. No identifying information is collected and all survey responses are anonymous. The results of this survey will help Pinellas County identify potential impediments to Fair Housing choice within your community.

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* 1. How much of your monthly household income, before taxes, do you spend on housing (e.g. rent or mortgage and utilities)?
(Monthly housing cost / Monthly household income) x 100 = % income spent on housing per month

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* 2. Has your monthly housing cost (e.g. rent or mortgage payment) changed in the past 5 years?

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* 3. What caused the change in your monthly housing cost (e.g. rent or mortgage payment)?

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* 4. What type of housing do you currently live in?

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* 5. Do you receive housing assistance currently? If so, please select the types of assistance you receive currently.

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* 6. What is your current housing situation?

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* 7. How long have you lived in your current housing situation?

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* 8. Only if you are a renter please answer the following: Which factors most strongly influenced your housing choice? (check only those that apply)

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* 9. Only if you are a homeowner please answer the following: Which factors most strongly influenced your housing choice? (check only those that apply)

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* 10. Have you or someone you know been denied housing because of any lawful source of income you may use to help pay for housing (such as "Section 8" vouchers, governmental or charitable down-payment assistance, social security and social security disability income, or other)?

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* 11. Have you seen an advertisement for housing that specifically prohibits applicants who receive certain lawful sources of income (such as "Section 8" vouchers, governmental or charitable down-payment assistance, social security and social security disability income, or other)?

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* 12. Have you ever experienced or witnessed housing discrimination in Pinellas County?

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* 13. If you experienced or witnessed housing discrimination, on what grounds do you believe you witnessed housing discrimination? (check only those that apply)

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* 14. If you experienced or witnessed housing discrimination, which of the following describes the person or organization that you witnessed engaging in housing discrimination? (check only those that apply)

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* 15. What did you do, or would you do, if you experienced or witnessed housing discrimination? (check only those that apply)

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* 16. Do you know anyone in Pinellas County who has faced the following? (check only those that apply)

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* 17. Have you been denied housing because of a prior criminal conviction or convictions?
Note: All survey responses are anonymous.

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* 18. If you have been denied housing because of a prior criminal conviction or convictions, were you offered an opportunity to contest/dispute/challenge the denial?

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* 19. Which of these, if any, have made your housing situation worse? (check only those that apply)

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* 20. Who do you turn to when faced with the housing challenges in the previous question? (check only those that apply)

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* 21. How familiar are you with Fair Housing laws?

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* 22. Do you think information regarding Fair Housing choice is readily available in Pinellas County?

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* 23. What is your race/ethnicity?
Note: All survey responses are anonymous.

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* 24. What is your first language?
Note: All survey responses are anonymous.

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* 25. Have you or someone you know been denied housing because you or they speak little or no English?

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* 26. Have you or someone you know been denied housing because they used an interpreter when exploring housing opportunities?

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* 27. Are you, or someone in your household, living with a disability (e.g. physical, mental, or developmental)?

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* 28. Have you or someone you know ever requested a reasonable accommodation/modification from a housing provider due to disability?

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* 29. If you or someone in your family has requested a reasonable accommodation/modification from a housing provider due to disability, was it approved?

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* 30. If you or someone in your family has requested a reasonable accommodation/modification from a housing provider due to disability, to whom did you make the request?

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* 31. What is your highest level of education completed?

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* 33. Which of these describes your employment status?

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* 34. What is your annual (yearly) household income range?
Note: All survey responses are anonymous.

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* 35. Additional comments

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