1.What street do you live on in Chester?

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

3.What is your gender?

Male

Female

Prefer Not to Say

Other (please specify)

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)

5.What is your Ethnicity?

Hispanic or Latino

Not Hispanic or Latino

Prefer Not to Say

Other (please specify)

6.What is your age group?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

7.How many people are living in your household?

One

Two

Three

Four

Five

Six or More

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 - $64,250

More

Less

N/A

2-Person Household - $73,400

More

Less

N/A

3-Person Household - $82,600

More

Less

N/A

4-Person Household - $91,750

More

Less

N/A

5-Person Household - $99,100

More

Less

N/A

6-Person Household - $106,450

More

Less

N/A

9.What is your current housing status?

Homeowner

Renter

Homeless

Living with friends/relatives

Temporary Shelter

Hotel/Motel

Mobile Home

Vehicle

Other (please specify)

10.Identify housing/rental issues you have observed in the City (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)