The City of Sharon, Pennsylvania is preparing its CDBG Program Five Year Consolidated Plan, Annual Action Plan, and Analysis of Impediments to Fair Housing Choice. As part of the planning process, the City is conducting a survey to identify residents' needs in the community and ideas on how the residents would like to see funds under the CDBG Program spent. In order for the City to address the housing needs of its residents, we request your assistance. Please take a few minutes and complete this confidential questionnaire to the best of your ability. If you are unsure of an answer, or the question does not apply to you, please feel free to skip that question. Thank you for your assistance in helping us to identify residents' needs and Fair Housing issues in the City.

* 1. What is your street name and ZIP Code where you live in the City of Sharon:

* 2. Gender

* 3. Race/Ethnicity (choose all that apply)

* 4. Age

* 5. Number of persons living in your household?