Allegheny County is an entitlement grantee under the Federal Community Development Block Grant (CDBG) Program. A requirement to receive these Federal funds is that the grantee must Affirmatively Further Fair Housing (AFFH). In order to demonstrate AFFH, the grantee must prepare an Analysis of Impediments to Fair Housing Choice every five (5) years. As part of the planning process, the County is conducting a survey to identify any potential 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 residents' needs and Fair Housing issues in the County.

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* 1. What is the name of your municipality and ZIP Code where you live in Allegheny County?

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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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