City of Salisbury, MDCONFIDENTIAL RESIDENT QUESTIONNAIRE PY 2024-2028 Five Year Consolidated Plan, PY 2024 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice Survey

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* 1. What street do you live on in the City of Salisbury?

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* 2. What neighborhood do you live in in Salisbury?

North Camden

Newtown/North Division Street

Church Street/Doverdale

Presidents/Princeton Area

Westside

Other (please specify)

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* 3. What is your gender?

Male

Female

Prefer Not to Say

Other (please specify)

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* 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

Other (please specify)

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* 5. What is your Ethnicity?

Hispanic or Latino

Not Hispanic or Latino

Other (please specify)

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* 6. What is your age group?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

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

One

Two

Three

Four

Five

Six or More

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* 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 - $47,750	1-Person Household - $47,750 More	1-Person Household - $47,750 Less	1-Person Household - $47,750 N/A
2-Person Household - $54,550	2-Person Household - $54,550 More	2-Person Household - $54,550 Less	2-Person Household - $54,550 N/A
3-Person Household - $61,350	3-Person Household - $61,350 More	3-Person Household - $61,350 Less	3-Person Household - $61,350 N/A
4-Person Household - $68,150	4-Person Household - $68,150 More	4-Person Household - $68,150 Less	4-Person Household - $68,150 N/A
5-Person Household - $73,650	5-Person Household - $73,650 More	5-Person Household - $73,650 Less	5-Person Household - $73,650 N/A
6-Person Household - $79,100	6-Person Household - $79,100 More	6-Person Household - $79,100 Less	6-Person Household - $79,100 N/A

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* 9. What is your current housing status?

Homeowner

Renter

Homeless

Living with friends/relatives

Temporary Shelter

Hotel/Motel

Mobile Home

Vehicle

Other (please specify)

City of Salisbury, MD
CONFIDENTIAL RESIDENT QUESTIONNAIRE
PY 2024-2028 Five Year Consolidated Plan, PY 2024 Annual Action Plan, and Analysis of Impediments to Fair Housing Choice

Question Title

* 1. What street do you live on in the City of Salisbury?

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* 2. What neighborhood do you live in in Salisbury?

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* 3. What is your gender?

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

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* 5. What is your Ethnicity?

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* 6. What is your age group?

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

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

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* 9. What is your current housing status?

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* 10. Identify housing/rental issues you have observed in the City of Salisbury (Choose all that apply):