LEHIGH COUNTY, PA – CONFIDENTIAL RESIDENT QUESTIONNAIRE FY 2024-2028 Five Year Consolidated Plan and FY 2024 Annual Action Plan Question Title * 1. What is the name of the street that you live on in Lehigh County? Question Title * 2. What is the name of the neighborhood you live in Lehigh County? 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 - $53,700 1-Person Household - $53,700 More 1-Person Household - $53,700 Less 1-Person Household - $53,700 N/A 2-Person Household - $61,400 2-Person Household - $61,400 More 2-Person Household - $61,400 Less 2-Person Household - $61,400 N/A 3-Person Household - $69.050 3-Person Household - $69.050 More 3-Person Household - $69.050 Less 3-Person Household - $69.050 N/A 4-Person Household - $76,700 4-Person Household - $76,700 More 4-Person Household - $76,700 Less 4-Person Household - $76,700 N/A 5-Person Household - $82,850 5-Person Household - $82,850 More 5-Person Household - $82,850 Less 5-Person Household - $82,850 N/A 6-Person Household - $89,000 6-Person Household - $89,000 More 6-Person Household - $89,000 Less 6-Person Household - $89,000 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 Lehigh County (Check all that apply): Lack of Affordability Minor Rehabilitations Needed Major Rehabilitations Needed Housing Options/Inventory ADA Accessibility Historic Preservation Negligent Landlords Asbestos Lead Paint/Pipes Other (please specify) Next
