The City of Martinsburg, West Virginia is preparing its CDBG and HOME Programs' Five Year Consolidated Plan, Annual Action Plan, and its Analysis of Impediments to Fair Housing Choice.  As part of the planning process, the City is conducting a survey to identify residents' needs in the community, ideas on how the residents would like to see funds under the CDBG and HOME Programs spent, and fair housing concerns, such as acts of discrimination or barriers that might limit the housing choices of families and individuals. Please take a few minutes and complete this confidential questionnaire to the best of your ability.  If you are unsure of an answer, or the question does not apply to you, please feel free to skip that question.  Thank you for your assistance in helping us to identify citizens' needs and Fair Housing issues in the City.  

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* 1. What is the name of your street and ZIP Code here you live in the City of Martinsburg?

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* 2. Gender

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* 3. Race/Ethnicity (choose all that apply)

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* 4. Age

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* 5. Number of persons living in your household?

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