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* 1. Please identify the ZIP code of your residence

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* 2. Are you aware of the "basic" Fair Housing requirements, which prohibit discrimination in buying, selling, renting, or lending based on race, color, religion, sex,  nationality? 

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* 3. Do you believe housing discrimination is an issue in Warren County?

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* 4. Do you feel that you have experienced discrimination in any of the following circumstances?  Check all that may apply.

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* 5. For the question above, what do you believe was the basis for the discrimination that you experienced? Check all that apply:

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* 6. What would you do if you encountered housing discrimination?

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* 7. How satisfied are you with your current transportation options?

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* 8. Do any members of your household have a mental or physical disability?

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* 9. Does your current home meet the needs of the disabled members of you household?

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