City of Johnstown, PA -
CONFIDENTIAL RESIDENT QUESTIONNAIRE
FY 2025-2029 Five Year Consolidated Plan, FY 2025 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice

Question Title

* 1. What street do you live on in Johnstown?

Question Title

* 2. What is the name of the neighborhood you live in?

Question Title

* 3. What is your gender?

Male

Female

Prefer Not to Say

Other (please specify)

Question Title

* 4. What is your race? Please choose all that apply.

White

Black or African American

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Some Other Race

Prefer Not to Say

Other (please specify)

Question Title

* 5. What is your Ethnicity?

Hispanic or Latino

Not Hispanic or Latino

Prefer Not to Say

Other (please specify)

Question Title

* 6. What is your age group?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

Question Title

* 7. How many people are living in your household?

One

Two

Three

Four

Five

Six or More

Question Title

* 8. Based on the number of persons living in your household, mark whether your household income is more or less than the listed income:

	More	Less	N/A
1-Person Household - $43,300	1-Person Household - $43,300 More	1-Person Household - $43,300 Less	1-Person Household - $43,300 N/A
2-Person Household - $49,500	2-Person Household - $49,500 More	2-Person Household - $49,500 Less	2-Person Household - $49,500 N/A
3-Person Household - $55,700	3-Person Household - $55,700 More	3-Person Household - $55,700 Less	3-Person Household - $55,700 N/A
4-Person Household - $61,850	4-Person Household - $61,850 More	4-Person Household - $61,850 Less	4-Person Household - $61,850 N/A
5-Person Household - $66,800	5-Person Household - $66,800 More	5-Person Household - $66,800 Less	5-Person Household - $66,800 N/A
6-Person Household - $71,750	6-Person Household - $71,750 More	6-Person Household - $71,750 Less	6-Person Household - $71,750 N/A

Question Title

* 9. What is your current housing status?

Homeowner

Renter

Homeless

Living with friends/relatives

Temporary Shelter

Hotel/Motel

Mobile Home

Vehicle

Other (please specify)

Question Title

* 10. Identify housing/rental issues you have observed in Johnstown (Check all that apply):

Lack of Affordability

Minor Rehabilitations Needed

Major Rehabilitations Needed

Housing Options/Inventory

ADA Accessibility

Historic Preservation

Negligent Landlords

Lack of Community Amenities (e.g. parks, grocery stores, healthcare facilities)

Fire Safety

Asbestos

Lead Paint/Pipes

Radon Gas

Other (please specify)

City of Johnstown, PA - CONFIDENTIAL RESIDENT QUESTIONNAIRE FY 2025-2029 Five Year Consolidated Plan, FY 2025 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice

Question Title

* 1. What street do you live on in Johnstown?

Question Title

* 2. What is the name of the neighborhood you live in?

Question Title

* 3. What is your gender?

Question Title

* 4. What is your race? Please choose all that apply.

Question Title

* 5. What is your Ethnicity?

Question Title

* 6. What is your age group?

Question Title

* 7. How many people are living in your household?

Question Title

* 8. Based on the number of persons living in your household, mark whether your household income is more or less than the listed income:

Question Title

* 9. What is your current housing status?

Question Title

* 10. Identify housing/rental issues you have observed in Johnstown (Check all that apply):

City of Johnstown, PA -
CONFIDENTIAL RESIDENT QUESTIONNAIRE
FY 2025-2029 Five Year Consolidated Plan, FY 2025 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice