Fair Housing Survey

1. In which region of Florida do you live?
2. What is your age?
3. What gender ?
4. What is your race?
5. Have you been affected by housing discrimination in Florida within the past 5 years?
6. On what basis do you believe that you were discriminated against? (Check all that apply)
7. Who do you believe discriminated against you?
8. Where did the discrimination occur?
9. Did you report the incident to:
10. If you did not report the incident, why not?
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