Sugar Law Center for Economic and Social Justice Demographic Survey

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This form will be use to collect basic information about each focus group participant.

Email *

Which of the following best describes you? *

White or Caucasian

Black or African American

Asian or Asian American

Native American or Alaska Native

Native Hawaiian or Other Pacific Islander

Multi-Race

Hispanic/Latinx

Other _________

Which of the following best describes you? *

Male

Female

Non-binary

What best describes your age? *

18-24

25-34

35-44

45-54

55-64

65-74

75+

What best describes your annual income? *

Less than $15,000

$15,000-$24,999

$25,000-$34,999

$35,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000+

Were you represented by counsel? *

Yes

If you answered Yes to #5, were you referred to a legal aid service for representation? *

Yes

If you answered Yes to #6, which legal aid service provided you with representation? *

If you answered Yes to #5, do you feel like your interests were properly represented? *

Yes

What of the following best describes your housing interest where you received the eviction notice? *

Property Ownership

Rent/Assignment/Sublease

How many individuals were living in your household when you received the eviction notice? *

How many kids were living in your household when you received the eviction notice?

A copy of your responses will be emailed to the address you provided.

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