Elyria Community Development Block Grant (CDBG) Survey

1.Do you live or work in Elyria
2.What race do you identify with?
3.Do you identify as Hispanic or Latino?
4.What is your age?
5.How do you identify?
6.Have you ever served in any branch of the United States military?
7.Are you a person living with a disability?
8.Do you have internet at your place of residence?
9.What is your annual household income?
10.What do you feel are the greatest housing needs in Elyria?
11.Including special services, community facilities, and infrastructure, what do you believe are the greatest non-housing needs in Elyria?
12.Are you aware of the basic fair housing requirements (which prohibit discrimination in buying, selling, renting or lending based on race, color, religion, sex, disability, nationality or familial status)?
13.Do you believe that housing discrimination is an issue in Elyria?
14.Have you ever experienced housing discrimination? (select all that apply)
15.If you believe or think that you or someone you know encountered housing discrimination, please indicate all of the following that apply.
16.On what basis do you believe you or someone you know was discriminated against (select all that apply)
17.If you believe you have been subjected to discrimination, have you reported the incident?
18.If "no" to the above question, please select all reasons that apply