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* 1. What is your most recent permanent zip code?

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* 2. Do you live or work in Clark County? (please select all that apply)

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* 3. What race do you identify with?

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* 4. Do you identify as Hispanic or Latino?

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* 5. What is your age?

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* 6. How do you identify?

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* 7. Are you a person living with a disability?

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* 8. What is your annual household income?

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* 9. Do you have internet at your place of residence?

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* 10. If you have internet in your home, please specify what type of internet.

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* 11. What do you believe are the greatest housing needs in Clark County?

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* 12. Including special services, community facilities and infrastructure, what do you believe are the greatest non-housing needs in Clark County?

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* 13. Federal basic fair housing requirements prohibit discrimination in buying, selling, renting or lending based on race, color, religion, sex, disability, nationality or familial status.

Do you believe discrimination is an issue in Clark County?

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* 14. If you or someone you know have ever experienced housing discrimination, please select all of the following that apply.

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* 15. On what basis do you believe you or someone you know was discriminated against (select all that apply)

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* 16. If you believe you have been subjected to discrimination, have you reported the incident?

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* 17. If "no" to the above question, please select all reasons that apply

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