Tools Resume later Exit and clear survey 2026 Southside Neighborhood Well-Being Survey default idbkp 8 8 IPGL Location data from IP: IP address Country Region City Latitude Longitude Postal code Time zone Q1 Which of the following best describes your race or ethnicity? Select all that apply Black or African American Asian Hispanic or Latino Two or more races White Other Prefer not to answer Q1x6 Please describe your race/ethnicity: Q2 Which of the following best describes your gender? Choose one of the following answers Male Female I prefer to self-identify Prefer not to answer No answer Q2x3 Please self-identify: Q3 Which of the following best describes your annual household income? Choose one of the following answers Under $15,000 $15,000 to $24,999 $25,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 or more Prefer not to answer Not sure No answer Q4 Which of the following best describes your marital status? Choose one of the following answers Never married Married Living with partner Separated Divorced Widowed Prefer not to answer No answer Q5 What is your age? Only numbers may be entered in this field. years Q6 What is the highest level of education you have completed? Choose one of the following answers Less than a high school diploma High school diploma or GED Some college, but no degree Associate's degree Bachelor's degree Graduate or professional degree Prefer not to answer No answer Q7 Do you own or rent your current residence? Choose one of the following answers Own Rent Live with family or others Prefer not to answer No answer Q8 How many children under the age of 18 live in your household? Choose one of the following answers None 1-2 3 or more Prefer not to answer No answer Q9 How long have you lived in the Southside neighborhood? Only numbers may be entered in this field. years Previous Next Resume later Please confirm you want to clear your response? Exit and clear survey Resume later Exit and clear survey