Respondent Information

A Tri-County Housing Task Force is conducting a needs assessment to identify housing needs in the Lewis and Clark County, Broadwater County and Jefferson County region.  Results of the needs assessment and implementation will help the task force develop a long-term strategy for meeting the Tri-County Area’s housing needs and to address challenges and opportunities in the area’s housing market.  Your responses are essential to this process.

* 1. Are you a:

* 2. What is the zip code for where you live?

* 3. What is the zip code where you work:

* 5. Please indicate your household yearly gross income:

* 6. How many people live in your household?

* 7. Which of the following best describes you? (Check all that apply)