Greetings! The City of Evansville is preparing the Analysis of Impediments to Fair Housing Choice and is seeking input from residents of Evansville to identify the barriers to fair housing choice. Survey results will be utilized by the city in the future planning and spending of federal funds. Individual responses from the survey will be confidential. Please complete the survey by November 1, 2019.

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* 1. What is your ZIP code?

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* 2. What type of home do you live in? (select one)

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* 3. How close is your home to public transportation (a bus stop)? (select one)

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* 4. Do you own or rent your home? (select one)

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* 5. Which best describes your household? (select one)

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* 6. How many people live in your household?

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* 7. How much of your household income do you spend on housing (including insurance and utilities)? (select one)

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* 8. What is your annual household income (before taxes)? (select one)

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* 9. Which age group represents the age of the head of household? (select one)

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* 10. What gender is the head of household? (select one)

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* 11. What race/ethnicity best describes the head of household? (select one)

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* 12. What is the primary language spoken at home? (select one)

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* 13. What is the disability status of household members? (select all that apply)

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* 14. How long have you lived in Evansville? (select one)

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* 15. Have you experienced any of the following in the past two years? (select all that apply)

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* 16. Have you experienced housing discrimination in the past two years? (select one)

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* 17. If you faced housing discrimination do you feel it was on the basis of: (select all that apply)

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* 18. What are the barriers to housing choice in Evansville? (select all that apply)

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* 19. Do you know who investigates housing discrimination in Evansville?

Thank you for your participation!

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