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21 <br /> App en I : Final ry y :in English <br /> Mobile Home Park e 1 <br /> (park ID) (nay ID) (survey ID) <br /> Date: Time: <br /> 1. Where is your mobile home park located? <br /> A. In the Town of Chapel Hill C. In the Town of Hillsborough <br /> B. In the Town of Carrboro D. In Orange County, outside of town limits <br /> 2. What do you like most about your current home? (Please select up to five) <br /> A. Own your own unit G. Close to work <br /> B. Cost/affordability H. Close to schools <br /> C. Comfortable living space/size of the unit I. Close to family and friends <br /> D. Safety J. Close to public transportation <br /> E. Neighbors K. Close to shopping and services <br /> F. Mobile home park L. Other(Specify) <br /> 3. How satisfied are you with your current mobile home? <br /> A. Very satisfied C. Dissatisfied <br /> B. Satisfied D. Very dissatisfied <br /> 4. Please provide the total number adults, seniors, and/or children in your household below: <br /> #of adults (18 and older) #of seniors (62 and older) #of children (17 and under) <br /> 5. If you have children in the public school system,which school district do your children attend? <br /> A. Orange County B. Chapel Hill—Carrboro City C. N/A <br /> Schools Schools <br /> 6. What is your total annual household income? (select one) <br /> A. Less than $14,999 F. $75,000 to $89,999 <br /> B. $15,000 to $29,999 G. $90,000 to $104,999 <br /> C. $30,000 to $44,999 H. $105,000 to$124,999 <br /> D. $45,000 to $59,999 I. $125,000 to$149,999 <br /> E. $60,000 to $74,999 J. $150,000 or more <br /> 7. How many members of your household contribute to housing costs (mortgage and/or rent)? <br /> A. 1 D. 4 <br /> B. 2 E. 5 or more <br /> C. 3 <br /> 8. What race(s) or ethnicities do you identify yourself with? (select all that apply) <br /> A. American Indian or Alaska E. Native Hawaiian or Other Pacific Islander <br /> Native F. White <br /> B. Asian G. Other <br /> C. Black or African American <br /> D. Hispanic, Latino, or Spanish <br /> Origin <br /> 9. How long have you lived in your mobile home? <br /> A. Less than 1 year C. 5 to 9 years E. 15 to 19 years <br /> B. 1 to 4 years D. 10 to 14 years F. 20 or more (Please <br /> specify: <br /> years) <br /> 10. Do you own or rent your mobile home? <br /> A. Own B. Rent <br /> 13 <br />