Section_C_8.1_Supporting_Documents_for_HIRS_for_AHS.pdf

DRAFT

2019 AMERICAN HOUSING SURVEY

INSTRUMENT ITEMS

Table of Contents

2019 American Housing Survey – Instrument Items

2019 AHS Reinterview Questions

2019 AHS – Housing Insecurity Research Module Questions

2019 American Housing Survey

Computer Assisted Instrument Items Booklet

Issued August 2018

Table of Contents – Modules by Instrument Sequence Order Number Name Abbreviation Page

1 Front FRONT 1

2 Housing Unit HU 11 3 Noninterview NOINT 15

4 Demographics DEMOBASE 25

5 Inventory INV 40 6 Equipment EQP 53

7 Breakdown BRKDN 70

8 Real Estate RET 79

9 Mortgage MORT 87

10 Taxes and Fees TXFEES 102 11 Renter Subsidies SUBRENT 108

12 Utilities UTILOD 110 13 Home Improvement HMR 118

14 Income INC 188 15 Non-relative Income NRIPLUS 196

16 Post-Secondary Education PSC 200

17 Demographics Supplement DEMSUPP 201 18 Disabilities DSB 204

19 Home Accessibility HA 207 20 Recent Movers RMOV 211

21 Neighborhood Quality NHQ 218 22 Food Security FDS 225

23 Ratio Verification RVER 227

24 Manager MGER 228 25 Close/Back CLOSE/BACK 229

26 Frequently Asked Questions Q&A 236

STARTCP

CENSUS CAPI SYSTEM

AMERICAN HOUSING SURVEY - ^YEAR INSTRUMENT

CASE STATUS: ^MSTATUS

DATE: ^DATEFILL TIME: ^TIMEFILL

1. Telephone Interview

2. Personal Interview

3. Ready to transmit case - no more followup

4. Quit: Do not attempt now

NOPHONE

You indicated that you would like to conduct a telephone interview. However, a telephone number has not been provided for this case. Do you have a telephone number for this case?

If yes, proceed and enter the new number.

If no, go back to STARTCP and complete a personal interview.

1. Yes

2. No

NOPHONENUM

Enter the phone number.

NOPHONETYP

Is this a home, work, mobile, or other type of number?

1. Mobile or Cell Phone

2. Home

3. Work

DIALCP Dial: ^PHONEFILL ^ext ^HO

^RESIDENT: ^RESPONDENT

Address: ^ADDRESSFILL Time: ^TIMEFILL

Enter your result.

1. Someone answers

2. No contact/Answering machine

3. Recorded message announcing new telephone number

4. Telephone disconnected

5. Not attempted now

SDIAL

You just dialed a telephone number and reported that no one answered.

Dial the Alternate Address Listing Telephone Type Telephone Number:

Alternate Telephone

3. Recorded message announcing new telephone number

TDIAL

You just dialed the second telephone number and reported that no one answered.

Dial the alternate Address Listing Third Telephone Type telephone number:

Third Telephone Number

3. Recorded message announcing new telephone number

NWPHONE

What is the new telephone number?

^Old ^I_PHONEFILL ^I_ext

Enter phone number

NWCPHO

Is this a home, work, mobile, or other type of number?

^Old ^I_PHONEFILL ^I_ext

4. Other

DIALNEW

Enter 1 to continue

1. Enter 1 to continue

HELLOCP

Hello, I'm ...... from the U. S. Census Bureau.

May I speak to ^RESPONDENT?

1. This is correct person

2. Correct person called to phone

3. Person not home now or not available now

4. Person unknown at this number

5. Person no longer lives there (includes deceased).

6. Noninterview

7. Replacement HH - Entire household moved out

RTNUMCP

Is household available?

R LN NAME AGE

^RESP ^LN ^NAMEFILL ^AGE

1. Yes, person you are speaking with or someone available now

2. Yes, but people NOT home or NOT available now

3. No, all persons have moved since last interview

HELPRTCP

Perhaps you can help me.

I would like to speak to a member of this household who usually lives there, is at least 16 years old, and is knowledgeable about the characteristics of the house you live in.

Would you or someone else there now qualify?

GENINTRO

We are taking a survey of housing in the United States.

I have some questions I would like to ask you.

Did your household receive our letter?

Identify yourself - if personal, show id.

If household did not receive the letter, Letter Summary or Letter FR Instruction Fill

INTROPT

I'm contacting you to complete the American Housing Survey!

^CbInstr

^CbReas

^CbInfo

INTROB

? [F1]

Is the ^CALLBACK respondent ready to complete the interview?

Enter 1 to continue with a Regular Occupied Interview Enter 3 to complete a Vacant Interview Enter 4 to complete a Noninterview

1. Continue interview

2. Inconvenient time; callback needed

3. Vacant

4. Noninterview

5. URE

6. Reluctant respondent; hold for refusal followup

7. Other outcome or problem

8. Wrong address (wrong case selected)

VERADD

I have ^your_the_that address listed as:

^ADDRESSFILL

Is that ^your_the_that correct address?

1. Yes, address is EXACTLY CORRECT as listed

2. Address is MOSTLY CORRECT, but needs some minor changes

3. INCORRECT ADDRESS

NWADDST1

What is your NEW ADDRESS?

OLD ADDRESS: ^ADDRESSFILL

Enter the house number

NWADDST2

(What is your NEW ADDRESS?)

Enter the house number suffix

NWADDST3

Enter the street name

NWADDST4

Enter the unit designation

NWADDST5

Enter the non-city style address

NWADDST6

Enter the GQ unit description

NWADDPHY

Enter the physical description

NWADDCT

Enter the city

NWADDST

Enter the state

NWADDZP5

Enter the five digit zip code

NWADDZP4

Enter the four digit zip code extension

NWADDBN

Enter the building name

MAILADD1

Is this also ^your_the mailing address?

ADDRESS: ^ADDRESSFILL2

MAILADD2

I have ^your_the mailing address as:

^MADDRESSFILL

Is that correct?

NWMLST1

What is ^your_the correct mailing address?

^Mailing ^MADDRESSFILL

Enter the house number

NWMLST2

(What is ^your_the correct mailing address?)

Enter the house number suffix

NWMLST3

Enter the street name

NWMLST4

Enter the unit designation

NWMLST5

Enter the non-city style address

NWMLST6

Enter the GQ unit description

NWMLCT

Enter the city

NWMLST

Enter the state

NWMLZP5

Enter the five digit zip code

NWMLZP4

Enter the four digit zip code extension

PHINTRO

We would like to collect some additional contact information in case we need to continue the interview later or follow up on missing data.

VERPHONE

I have the best phone number to reach you listed as:

^PHONEFILL

Is that still the best phone number?

PREFNUM

What is the telephone number where you would like to be called?

^PhoneInstr ^ext

Enter phone number Probe, if more than one provided: Which one would you prefer?

BCKHO

Is this a mobile or cell, home, work, or other type of number?

Current Number: ^PHONEFILL ^ext

4. Other - Specify

BCKHOSP

Specify other type of phone number.

EMAIL

Do you also have an email address that we could use to contact you?

EMAIL2

What is your email address?

Probe, if more than one provided: Which one would you prefer?

TELCELL

How many adults (age 18 and over) in this household have a cell phone for personal use? (Consider all adults in the household.)

TELAND

Is there ^also a landline telephone in this ^HTYPEFILL? Do not count cellular phones, or any phone line that is used only for a computer or fax machine.

TELIN

Is Telephone OK?

PREFCON

If we need to contact you, what is your preferred method of contact?

Enter all that apply, separate with commas.

If respondent answers "phone", probe for call, text, or both.

1. Personal Visit

2. Telephone Call

3. Text Message

4. Email

NONTYPE

What type of Noninterview do you have?

1. Type A

2. Type B

3. Type C

EXITHANKCP

Thank you for your time.

END OF INTERVIEW

HTYPE

?[F1]

Is ^address_unit a house, an apartment, a manufactured/mobile home, or some other type of residence?

1. House

2. Apartment, flat

3. Manufactured/mobile home

5. HU in nontransient hotel, motel, etc

6. HU, permanent in transient hotel, motel

7. HU in rooming house or boarding house

8. Boat or recreational vehicle

9. Tent, cave, or railroad car

10. HU not specified above, specify

11. Unoccupied site for manufactured/mobile home, trailer, or tent

12. Group Quarters

HTYPESP

Specify other type of home

OTBUP

Are there any other living quarters, either occupied or vacant, at this address?

ISTYPE

If not obvious ask...

^AreYour_IsThat living quarters in a

Read all categories

1. Manufactured/Mobile home?

2. One-unit building, detached from any other building?

3. One-unit building, attached to one or more buildings?

4. Building with two or more apartments?

MHWIDEV

(Last time) we recorded that this mobile home is a 1/2/3 wide unit.

Is this information still correct?

MHWIDE

Is the mobile home a single-wide, double-wide, or triple-wide unit?

1. Single-wide

2. Double-wide

3. Triple-wide

NUNITSV

(Last time) we recorded ^I_NUNITS apartments in the ^mobile_building.

Is this number still correct?

NUNITS1

How many apartments are in the ^mobile_building?

Enter 998 if 998 or more

NUNITS2

Including both occupied and vacant units, what is your best guess, please?

SHARAT

Does ^that_your ^HTYPEFILL share an attic or basement with the

^HTYPEFILL next door?

NUNITS3

How many ^house_apt including ^this_your share the attic or basement?

SHARFR

Does ^that_your ^HTYPEFILL share a furnace or boiler with the

^HTYPEFILL next door?

NUNITS4

How many ^house_apt including ^this_your share the furnace or boiler?

COMPLEXV

(Last time) we recorded that this building ^IS_COMPLEX part of a complex of multiple apartment buildings.

COMPLEXQ

Some apartment buildings are part of a complex of multiple apartment buildings. Is this building part of a complex?

ISNAMEQV

(Last time) we recorded that this building_complex has a name.

ISNAMEQ

Is there a name for ^this_that building_complex?

NBLGCOQV

Is the name still ^BLDNAME?

NBLGCOQ

What is it?

ACCESSBV

Does your building still require a special entry system such as entry codes, key cards, or security guard approval for access?

ACCESSB

Does access to your building require a special entry system such as entry codes, key cards, or security guard approval?

ACCESS

Does ^unit ^HNO ^HNOSUF ^STRNAME ^UNITDES have direct access either from the outside or through a common hall?

1. Yes, direct access

2. No, through another unit

NEEDC

Do you need to Type C this unit?

TENURE

Is this ^HTYPEFILL

Read categories until a "yes" reply is received

1. Owned or being bought by someone in your household?

2. Rented?

3. Occupied without payment of rent?

TYPEABCM

^Just_What type of Noninterview do you have?

1. TYPE A

2. TYPE B

3. TYPE C

4. MISTAKE - Do not want to code to noninterview

NOINTA

Enter Type A Noninterview Reason

1. No one home

2. Temporarily absent

3. Refused

4. Unable to locate

5. Language problem

6. Other, occupied

NOINTASP

Specify other Type A reason

SUREA

Are you sure this case is a Type A noninterview?

NOINTB

Enter Type B Noninterview Reason

10. Permit granted, construction not started

11. Under construction, not ready

12. Permanent or temporary business or commercial storage

13. Unoccupied site for manufactured/mobile home or tent

14. Other unit, including group quarters, nonstaff, or institutional units

15. Occupancy prohibited

16. Interior exposed to the elements

17. Type B, not classified above, specify

19. Demolished or disaster loss

PEDISSUE

TYPE B-10

PERMIT GRANTED-CONSTRUCTION NOT STARTED

Enter date permit issued mm/dd/yyyy

PENUN

Enter expected number of units

Enter 9999 if 9,999 or more

UCAO

TYPE B-11

UNDER CONSTRUCTION-NOT READY

Enter the code that best describes the situation

1. New construction of entire structure

2. Renovation or addition to an existing structure

UCWDF

Are all exterior windows and doors and the usable floors in place?

BCSCS

TYPE B-12

PERMANENT OR TEMPORARY BUSINESS OR COMMERCIAL STORAGE

Enter what best describes the current use of the unit.

1. Commercial; specify type of business

2. School

3. Storage

BCSCSSP

Specify type of business

BCSST

What kind of articles are being stored?

1. Personal household furniture only

2. Commercial storage

3. Farm equipment or crops

4. Other; specify

BCSSTSP

Specify other stored

USMHP

TYPE B-13

UNOCCUPIED SITE FOR MANUFACTURED/MOBILE HOME OR TENT

Is this site (or location description) in a place that has common properties or facilities AND a single management or association?

USREP

Is the site in a recreational, educational, or religious type park?

USPER

Is this site usually occupied by persons who made arrangements to stay for 30 days or more?

OTHCD

TYPE B-14

OTHER UNIT INCLUDING NONSTAFF, OR CONVERTED

TO INSTITUTIONAL UNIT

Enter the code that best describes the other unit group quarters found.

1. 101-107 - Correctional Institutions

2. 201,204-205,208,702,209 - Juvenile Institutions (including homes, schools, detention centers)

3. 301-307 - Nursing Homes with an RN on duty 8 out of every 24 hours

4. 400-410 - Hospital and Wards, Hospices and Schools for the challenged

5. 501 - College, University and Seminary Housing Quarters

6. 601-603 - Military Quarters

7. 701 - Hotels/Motels

8. 701-706 - Emergency Shelters/Service Locations

9. 801-810 - Group homes intended for adults (not correctional or medical)

10. 501,601,901-905 - Dormitories

11. 906 - Religious Group Quarters

12. 908 - Other non-household living situations

13. 909 - Natural Disaster

14. 911 - Residential Care Facilities providing 'protective oversight'

15. 997 - Not a special place

TYPB14D

Describe the group quarters

OTHOC

Enter the code that best describes the type of occupants.

1. Noninstitutional

2. Institutional - Staff

3. Institutional - Inmates or patients

TYPB14O

Describe the type of occupants

Give a specific description; for example, college students, nurses, staff at children's camp, inmates, patients, etc.

OPNOR

TYPE B-15

OCCUPANCY PROHIBITED

Is the unit for nonresidential use?

OPREA

Enter what best describes the reason occupancy is prohibited.

1. Scheduled to be demolished

2. Severely damaged by fire

3. Condemned or occupancy prohibited by law

OPDEM

Has demolition of the unit begun?

OPINE

Is interior exposed to the elements?

OPSGN

Is there a sign or notice indicating that the unit is condemned, or to be demolished or occupancy is prohibited by law?

OPPAC

Was a public agency contacted to confirm the status?

1. Yes; specify the agency

OPPACSP

Specify the agency

IEFIT

TYPE B-16

INTERIOR EXPOSED TO THE ELEMENTS

Does this unit fit the definition of any of the previous noninterview categories?

IECDW

Enter what best describes the condition of the unit's doors and/or windows.

1. All in good condition

2. Some missing or broken

3. Most missing or broken

4. Unobservable; Explain

IECDWSPC

Explain why condition of the unit's doors and/or windows could not be observed.

IECRE

Enter what best describes the condition of the unit's roof (exclude porch roofs).

1. In good condition

2. Leaky, has missing shingles or small holes

3. Entirely or partially missing

IECRESPC

Explain why condition of unit's roof could not be observed.

IECEW

Enter what best describes the condition of the unit's exterior walls.

1. In good condition

2. Cracked or broken (exclude minor damage which does not expose the interior)

3. Entirely or partially missing

IECEWSPC

Explain why condition of unit's exterior walls could not be observed.

BOTWN

TYPE B - OTHER TEST

In order to be a Type B-Other, a sample unit must meet one of the following conditions.

1. The sample unit serves as a government embassy, chancery, or consulate.

2. The sample unit meets the minimal conditions of a Type B but falls outside the designated Type B categories. The minimal conditions for a Type B are that the sample unit is CURRENTLY UNINHABITABLE but has the POTENTIAL of being converted or repaired and used as a living quarters in the future.

A vacant home or manufactured/mobile home is NOT a Type B-Other.

A vacancy fails the Type B test because it is habitable even though unoccupied at the time of interview. The AHS has a special interview that should be completed for a vacancy.

Is this sample unit a Type B-Other?

TYP17R

TYPE B-17

NOT CLASSIFIED ABOVE

Specify the Type B found

BOTRO

Did you call your supervisor?

TYPITTL

Give the title of your supervisor who authorized this classification.

DDLRE

TYPE B-19

DEMOLISHED OR DISASTER LOSS

Enter the appropriate category

1. Demolished

2. Disaster loss

DDLAP

How much of the unit has been demolished?

1. All

2. Part - Demolition progressing

3. Part - Demolition discontinued

4. None

DDLWR

Enter what best describes the condition of the unit.

1. Exterior walls, roof, doors, and windows are in good condition

2. Unit has missing or broken exterior walls, roof, doors, or windows

3. Unit is completely destroyed

EXPOSE

Is the interior-

1. Exposed to the elements

2. Not exposed to the elements

BBLDG

Does the building contain any housing units?

Consider all units whether or not they are in sample.

If there are any units that would qualify as Type B or Type C noninterviews, do not count them as housing units.

1. Yes, building contains at least one housing unit - either occupied or vacant.

2. No, building does not contain any housing units and sample unit is the only unit in the building.

3. No, building does not contain any housing units and there is more than one unit that would qualify for a Type B or C noninterview.

BOARDU

Is the unit boarded up?

NOINTC

Enter Type C Noninterview Reason

31. House or manufactured/mobile home moved

32. Unit eliminated in structural conversion

33. Merged, not in current sample

36. Permit abandoned

37. Type C, not classified, specify

42. Unit does not exist or unit is out of scope

43. Unlocatable Sample Address

NOINTCSP

Specify Type C reason

DISAS

Was the unit demolished, moved, or considered a disaster loss because it was severely damaged by one or more of the following?

Select all that apply, separate responses with commas.

1. Fire

2. Earthquake

3. Tornado or hurricane

4. Landslide

5. Flood

6. Other

BYOBS

Was noninterview status determined by observation only or did someone provide you with information about the housing unit?

1. Observation only

2. Information provided by someone

EXCLE

Enter an explanation of why you classified the unit as a Type B or C Noninterview.

RESPTYP

MARK WITHOUT ASKING

What type of respondent is this?

1. Owner

2. Manager

3. Neighbor

4. Real Estate Agent

5. URE Occupant

6. Regular Occupant (Non-Owner)

7. Other

DEM_BEG

DO NOT DISPLAY THIS ITEM

STILIV1

I have listed

READ NAMES BELOW

Are all of these persons still living or staying at ^this_that address?

HH R LN NAME SEX REL ED RACE MAR

LPR AGE

^I_HH ^RESP ^I_LNO ^I_NAMEFILL ^I_GENDER ^I_RELATION ^I_EDUC

^I_RACEFILL ^I_MARSTAT ^I_PAR ^I_AGE

3. Undelete

UNDELWHO

Who now lives here?

Enter all that apply, separate with commas

STILIV2

(Do ANY of these people still live ^here_there1?)

HH LN NAME SEX REL AGE MAR LPR

^I_HH ^I_LNO ^I_NAMEFILL ^I_GENDER ^I_RELATION ^I_AGE

^I_MARSTAT ^I_PAR

WHYNO

Who no longer lives here? (Why does he/she no longer live here?)

Use up/down arrow to select. Enter reason person left.

Press END key if no more changes.

1. Moved away

2. Deceased

3. Included in error in a previous interview

4. Mistake, should not be deleted

5. Other

FNAME

What are the names of all persons living or staying here?

^Start_person Who else is living or staying here?

Enter first name If the respondent answers "Don't Know" or refuses to provide a name, enter a descriptive label to identify this household member. Note: this is how that person will be referred to for the rest of the interview.

Enter '999' to exit

LNAME

Enter last name

USUAL

^Do_Does ^you_NAME usually live here?

URE

^Do_Does ^you_NAME have some other place where ^you_he_she usually lives?

SEX

^are_is1 ^you_NAME male or female?

1. Male

2. Female

ADDWHY

Why ^were_was ^you_NAME added?

1. Born

2. Moved into household/apartment

3. Other reason

MSBABY

Have I missed any babies or small children?

HH Name

^HH ^NAMEFILL

MSLODG

(Have I missed) any lodgers, boarders, or persons you employ who live here?

MSAWAY

(Have I missed) anyone who usually lives here but is away now, traveling for work or business, on vacation, or at school or in a hospital?

MSOTHR

Anyone else staying here?

USUALLY

(Do ^you_both_all usually live here?)

^NAMEFILL

UREPN

Who does not usually live here?

Enter up to 6 that apply, separate with commas

URE2

^Do_Does ^you_NAME have some other place where ^you_he_she usually lives?

HHRESP

(With whom am I speaking?)

OWNERQ

In whose name is this home ^TENUREFILL?

Enter up to 5 that apply, separate with commas

DEMROS

^first_followup

^NAMEFILL

RRP

What is ^your_NAME relationship to Reference Person First and Last

Name?

1. Opposite-sex husband/wife/spouse

2. Opposite-sex unmarried partner

3. Same-sex husband/wife/spouse

4. Same-sex unmarried partner

5. Biological son or daughter

6. Adopted son or daughter

7. Stepson or stepdaughter

8. Grandchild

9. Father or mother

10. Brother or sister

11. Parent-in-law

12. Son-in-law or daughter-in-law

13. Other relative

14. Foster child

15. Housemate/roommate

16. Roomer/boarder

17. Other nonrelative

RELB

If not obvious, ask

Does anybody related to ^you_NAME live here?

VERAGE1

Next I need to verify info about

I have recorded that ^you_he_she ^are_is1 ^CAGE_baby ^this_month.

BRTHMQ

What is ^your_NAME date of birth?

Enter month

1. January

2. February

3. March

4. April

5. May

6. June

7. July

8. August

9. September

10. October

11. November

12. December

BRTHDQ

(What is ^your_NAME date of birth?)

Enter day

BRTHYQ

Enter 4 digit year

AGEGES

What is your best estimate of ^your_NAME age?

UNDAGE

ASK IF NECESSARY

(Is ^he_she under 16 years of age?)

MAR

1. Married, SPOUSE PRESENT

2. Married, SPOUSE ABSENT

3. Widowed

4. Divorced

5. Separated

6. Never Married

MARVER

^you_NAME ^have_has_are_is ^IMARFILL.

Is that still correct?

SMAR

^Are_is1 ^you_NAME now married, widowed, divorced, separated or never married?

3. Widowed

4. Divorced

SLNSPOU

Who is ^your_NAME spouse?

96. Not Listed

ORIGN

^are_is1 ^you_NAME Spanish, Hispanic, or Latino origin?

ORISPN

^are_is1 (name/you) Mexican, Mexican American, Chicano, Puerto Rican, Cuban, Cuban American, or some other Spanish, Hispanic, or Latino group?

If multiple answer, Probe: (Which group (do/does) ( you/he/she) most closely identify with?)

1. Mexican

2. Mexican American

3. Chicano

4. Puerto Rican

5. Cuban

6. Cuban-American

7. Other Spanish, Hispanic, or Latino group

OROTSP

What is the name of (your/his/her) other Spanish, Hispanic, or Latino group?

OROTSS

Specify "Other" Spanish, Hispanic, or Latino group

RACE

& ^Flashcard

Please choose one or more races that ^you_NAME2 ^consider ^self to be.

Do not probe unless response is 'hispanic' or a hispanic origin

Read bold categories

1. White

2. Black or African American

3. American Indian or Alaska Native

4. Asian

5. Native Hawaiian or Other Pacific Islander

6. Other; specify

RACEAS

Which of the following Asian groups (are / is) ( you/he/she)?

Read each item

1. Asian Indian

2. Chinese

3. Filipino

4. Japanese

5. Korean

6. Vietnamese

7. Other Asian - DO NOT READ

RACEPI

Which of the following Native Hawaiian or other Pacific Islander groups

(are / is) ( you/he/she)?

Read each item

1. Native Hawaiian

2. Guamanian or Chamorro

3. Samoan

4. Other Pacific Islander - DO NOT READ

RACEOT

Read only if necessary:

What is (your/his/her) race?

RACESP

Specify other race

SPAR

Do ^your_NAME parent(s) live in this household?

Please include biological, step and adoptive parents.

SLNPAR

Who is ^your_NAME parent?

Enter line number of one parent if more than one

SPAR2

We have reported ^PAR_NAME as ^your_NAME parent.

^Do_Does ^you_NAME have another parent in the household?

Please include biological, step and adoptive parents.

SLNPAR2

Who is ^your_NAME other parent?

COHAB

(are / is) (name/you) currently living with a boyfriend, girlfriend, or partner?

COHABWHO

Who is that?

96. Not listed

WHENYR

When did ^you_NAME move to this ^HTYPEFILL?

If mother lived here when person was born, enter 0

WHENMON

^mvyr_nomvyr

3. March

4. April

5. May

6. June

7. July

8. August

9. September

10. October

CHANGE

Review All Categories

HH R LN NAME SEX REL ED RACE OR MAR

LNPAR LNPAR2 AGE

^HH ^RESP ^LNO ^NAMEFILL ^GENDER ^RELATION ^EDUC

^RACEFILL ^ORIGN ^MARSTAT ^PAR ^PAR2 ^AGE

Is this information correct?

CHNG1

Who has changes?

LNPAR AGE

^HH ^RESP ^LNO ^NAMEFILL ^GENDER ^RELATION ^EDUC

^RACEFILL ^ORIGN ^MARSTAT ^PAR ^AGE

CHWHT

What needs to be changed for ^NAMEFILL?

^HH ^RESP ^LNO ^NAMEFILL ^GENDER ^RELATION ^EDUC ^RACEFILL

^ORIGN ^MARSTAT ^PAR ^AGE

1. Name

2. Age or Date-of-Birth

3. Sex

4. Origin

5. Race

6. Marriage

7. Education

8. Parents

CHG_FNAME

What is ^your_name correct name?

Enter first name If first name is the same as displayed, press enter, otherwise enter the new first name.

CHG_LNAME

(What is ^your_name correct name?)

Enter last name If last name is the same as displayed, press enter, otherwise enter the new last name.

CHG_BRTHMQ

What is ^your_NAME date of birth?

3. March

4. April

5. May

6. June

7. July

8. August

9. September

10. October

CHG_BRTHDQ

Enter day

CHG_BRTHYQ

CHG_AGEGES

What is your best estimate of ^your_NAME age?

CHG_UNDAGE

ASK IF NECESSARY

(Is ^he_she under 16 years of age?)

CHG_SEX

(^Are_Is1 ^you_NAME male or female?)

1. Male

2. Female

CHG_ORIGN

^Are_Is1 ^you_NAME Spanish, Hispanic, or Latino?

CHG_RACE

& ^Flashcard

Please choose one or more races that ^you_NAME ^consider ^self to be.

Do not probe unless response is 'hispanic' or a hispanic origin

1. White

2. Black or African American

3. American Indian or Alaska Native

4. Asian

5. Native Hawaiian or Other Pacific Islander

6. Other; specify

CHG_RACESP

Specify other race

CHG_SMAR

^Are_is1 ^you_NAME now married, widowed, divorced, separated or never married?

3. Widowed

4. Divorced

CHG_EDUCA

What is the highest level of school ^you_NAME ^have_has completed or the highest degree ^you_he_she ^have_has received?

31. Less than 1st grade

32. 1st, 2nd, 3rd or 4th grade

33. 5th or 6th grade

34. 7th or 8th grade

35. 9th grade

36. 10th grade

37. 11th grade

38. 12th grade, no diploma

39. HIGH SCHOOL GRADUATE - High school DIPLOMA or equivalent (For example: GED)

40. Some college but no degree

41. Diploma or certificate from a vocational, technical, trade or business school beyond the High School level

42. Associate degree in college - Occupational/vocational program

43. Associate degree in college - Academic program (For example: AA)

44. Bachelors degree (For example: BA, AB, BS)

45. Master's degree (For example: MA, MS, MEng, MEd, MSW, MBA)

46. Professional School degree (For example: MD, DDS, DVM, LLB, JD)

47. Doctorate degree (For example: PhD, EdD)

CHG_SPAR

Do ^your_NAME parent(s) live in this household?

CHG_SLNPAR

Who is ^your_NAME parent?

INFO_1

Review All Categories

^HH ^RESP ^LNO ^NAMEFILL ^GENDER ^RELATION ^EDUC

^RACEFILL ^ORIGN ^MARSTAT ^PAR ^AGE

Is this information correct?

INV_INTRO

The next questions are about ^your_the home.

Enter 1 to continue.

TPARKA

Is ^your_that manufactured/mobile home included in a group of 2 or more?

2. No, manufactured/mobile home not in group

TPARKB

How many, including ^your_that manufactured/mobile home, are in the group?

Enter 997 for any number over 997.

If the Respondent is unsure ask for a best estimate.

BUILTQ

What year was ^yourhome_building built?

Mark appropriate year range

0. 2010-present

1. 2005-2009

2. 2000-2004

3. 1995-1999

4. 1990-1994

5. 1985-1989

6. 1980-1984

7. 1970-1979

8. 1960-1969

9. 1950-1959

10. 1940-1949

11. 1930-1939

12. 1920-1929

13. 1919 or earlier

BUILT1Q

What year was ^yourhome_building built?

Enter appropriate year, 2010-present

DECADEQ

What decade was ^yourhome_building built?

0. 2010-present

1. 2000-2009

2. 1990-1999

3. 1980-1989

4. 1970-1979

5. 1960-1969

6. 1950-1959

7. 1940-1949

8. 1930-1939

9. 1920-1929

10. 1919 or earlier

YRSOLD

Do you know how many years old ^yourhome_building is?

Enter a numeric value between 0 and 200

If more than 200 years old, enter 200

GUTREHB

Gut rehabilitation is defined as the general replacement of the interior of a building including the HVAC, plumbing and electrical components.

Has this housing unit undergone a gut rehabilitation in the last 10 years?

CONDOV

Last time we recorded your ^HTYPEFILL was part of a condominium.

If respondent seems unsure of definition of condo refer to definition under the help screen

CONDO2V

(Last time) we recorded your ^HTYPEFILL was part of a cooperative.

If respondent seems unsure of definition of co-op refer to definition under the help screen.

CONDO1

Is ^that_this ^HTYPEFILL part of a condominium?

If respondent seems unsure of definition of condo refer to definition under

CONDO2

Is ^that_this ^HTYPEFILL part of a cooperative?

If respondent seems unsure of definition of co-op refer to definition under

HOMEASC

^CONDO_ASC

Is ^that_this ^HTYPEFILL ^CCHK part of a homeowner association?

CELAR1V

Last time we recorded that ^that_this house was built ^basement.

CELAR1Q

Is ^that_this house built-

1. With a basement?

2. With a crawl space?

3. On a concrete slab?

4. In some other way? (Specify)

CELAR1SP

Specify other type of foundation

CELAR2Q

And, is that basement under ALL the house, or is it under PART of the house?

("HOUSE" refers to living space only, i.e. basement doesn't need to be under garage/carport to count as "all")

1. All

2. Part

ANCHORV

Last time we recorded that this manufactured/mobile home was anchored by tiedowns, bolts, or some other means.

Is this still correct?

ANCHOR

Is ^that_this manufactured/mobile home anchored by tiedowns, bolts, or some other means?

MHSETV

(Last time) we recorded that this manufactured/mobile home was

^foundation.

MHSETQ

Is ^that_this manufactured/mobile home--

1. Set up on a permanent masonry foundation?

2. Resting on a concrete pad?

3. Up on blocks, but not on a concrete pad?

4. Set up in some other way?

STORIES

How many stories are in ^that_this multifamily building?

Enter a whole number

Enter 21 for any number 21 or greater.

FLOORSQ

How many floors are in ^this_that unit ^basement_attic2?

If split level, count greatest number of floors on top of each other

Enter a whole number

Enter 4 for any number 4 or greater.

NOSTEPV

(Last time) we recorded that it was possible to enter ^that_this

^home_apartment WITHOUT climbing up or down any steps or stairs.

NOSTEP

^Outside_Is it possible to enter ^that_this ^home_apartment WITHOUT climbing up or down any steps or stairs?

Please consider all entrances and any ramps that could be used.

INTROROOMS

The next few questions are about the number and kinds of rooms in

^your_that ^HTYPEFILL.

LISTRMV

Last time we recorded ^I_Studio ^IBEDRMS Bedroom(s), ^IBATHS Bathroom(s), ^IHALFB Half bathroom(s), ^IKITCH Kitchen(s), ^IDINING Separate dining room(s), ^ILIVING Living room(s), ^IFAMRM Family room(s)/"Great" room(s)/TV room(s), ^IRECRM Recreation room(s), ^IDENS Den(s)/Libraries, ^ILAUNDY Laundry room(s)/Utility room(s)/Pantries, ^I_OTHFIN Other Finished room(s), ^IOTHRUN Other Unfinished room(s)

BEDRMS

^thinking_how many bedrooms are there ^in_that_your ^HTYPEFILL?

Enter 10 for 10 or more

BATHS

A full bathroom is one that has a sink with running water, a toilet, and either a bathtub or shower. How many full bathrooms are there ^in_that_your home? [Include bathrooms in finished attics or finished basements.]

HALFB

A half-bathroom is one that has either a toilet or a bathtub or a shower.

How many half bathrooms are there ^in_that_your home ? [Include bathrooms in finished attics or finished basements.]

KITCH

How many kitchens?

Enter 5 for 5 or more

DINING

How many SEPARATE dining rooms? (A separate dining room is one that's separated from other rooms by archways or walls extending at least six inches.)

LIVING

How many living rooms?

STUDIO

If not obvious ask

Is this a one room efficiency or studio apartment?

MORROM

Besides all of these rooms, are there any OTHER rooms in

^that_this_S1 home?

MORROM2

What are they?

Do not count the same room more than once.

Do not count garages, hallways, closets, or porches as rooms

1. Family Rooms/Great Rooms/TV Rooms

2. Recreation Rooms

3. Dens/Libraries

4. Laundry/Utility/Pantries

5. Other Finished Rooms

6. Other Unfinished Rooms

FAMRM

How many family rooms, great rooms, or TV rooms?

Enter the number of each type of room respondent mentions. Do not count the same room more than once.

RECRM

How many recreation rooms?

DENS

How many dens or libraries?

LAUNDY

How many laundry, utility, or pantry rooms?

Enter the total number of this type of room respondent mentions. Do not count the same room more than once.

OTHFN

How many other FINISHED rooms?

count the same room more than once.

OTHRUN

How many other UNFINISHED rooms?

LISTRM

^Studio ^BEDRMS Bedroom(s), ^BATHS Bathroom(s), ^HALFB Half bathroom(s), ^KITCH Kitchen(s), ^DINING Separate dining room(s), ^LIVING Living room(s), ^FAMRM Family room(s)/"Great" room(s)/TV room(s), ^RECRM Recreation room(s), ^DENS Den(s)/Libraries, ^LAUNDY Laundry room(s)/Utility room(s)/Pantries, ^OTHFIN Other Finished room(s), ^OTHRUN Other Unfinished room(s)

Are there any other rooms ^Elsewhere?

(Have I mis-recorded the number of any rooms?)

NOROOM

For efficiency or studio apartments, if bedroom and/or kitchen is listed below, enter "1" without asking question.

I want to be sure that I have correctly recorded all of the rooms information. My notes state that there is not a:

^Bedroom ^Bathroom ^Kitchen in ^this_that home.

2. No - CORRECT screen. PROBE: Which do you have? Which do you not have?

UNITSFQ

Thinking about all the rooms you mentioned earlier, as well as

^hallways and entry ways in ^the_that ^HTYPEFILL about how many square feet is that?

(Include: Finished attics.

Exclude: Unfinished attics, carports, and attached garages. Also exclude porches that are not protected from the elements^business)

Enter appropriate square feet between 99 and 99998.

Enter 99998 for 99,998 square feet or more.

PORCHV

(Last time) we recorded that the ^HTYPEFILL5 had a porch, deck, balcony, or patio.

(Measuring at least 4 feet by 4 feet)

PORCHQ

Does ^the_that ^HTYPEFILL have a porch, deck, balcony, or patio?

(Measuring at least 4 feet by 4 feet)

GARAGEV

(Last time) we recorded that a garage or carport was included with

^the_that ^HTYPEFILL.

GARAGEQ

Is a garage or carport ^attached included with ^the_that ^HTYPEFILL?

LOTQ

About how large is the ^site_lot?

Don't read the answers, mark the appropriate box and enter the amount on the following screen

1. Square Feet

2. Feet by Feet

3. Acres

LTSQFTQ

Include all connecting land that is owned or that is rented with the home

If under 1 acre, convert to approximate square feet

Use 999998 if 999,998 square feet or more

One eighth acre= 5500 sq.ft. Half acre= 22000 sq.ft.

Quarter acre= 11000 sq.ft. Three quarters acre= 33000 sq.ft.

One third acre=14000 sq.ft. One acre= 44000 sq.ft.

LTFT1Q

Enter the first dimension

LTFT2Q

Enter the value of the second dimension

LTACQ

Enter 999998 for 999,998 or more

LTAC1P

Would you say that the ^site_lot is more than 1 acre or less than 1 acre?

(1 acre is roughly 1 American football field or 2/3 of an official soccer field.)

1. More

2. Less

ACRES

About how many acres?

Enter 999998 for 999,998 or more

LTAC10P

Is it more than 10 acres?

ESTIMATE

Could you give me an estimate of the dimensions of the lot?

Mark appropriate measurement type and input numbers on the following screens.

One eighth acre = 5500 sq.ft. Half acre = 22000 sq.ft.

Quarter acre = 11000 sq.ft. Three quarters acre = 33000 sq.ft.

One third acre = 14000 sq.ft. One acre = 44000 sq.ft.

1. Square Feet

2. Feet by Feet

LTSQFTP

Enter square footage of the lot

One eighth acre = 5500 sq.ft. Half acre = 22000 sq.ft.

Quarter acre = 11000 sq.ft. Three quarters acre = 33000 sq.ft.

One third acre = 14000 sq.ft. One acre = 44000 sq.ft.

LTFT1P

Input first dimension of foot by foot measurement of the lot

LTFT2P

Enter the second measurement for the feet by feet measurement

EQPINTRO

Turning now to questions about appliances and other household equipment.

SOLAR

Does ^this_that ^HTYPEFILL_EQP have solar panels?

(Solar panel refers to a panel designed to absorb the sun's rays as a source of energy for generating electricity or heating.)

COOKV

(Last time) we recorded that your ^HTYPEFILL had some type of cooking stove, or a range with an oven--one that is in working order.

COOKQ

Does ^your_the_that ^HTYPEFILL have some type of cooking stove, or a range with an oven--one that is in working order?

BURNERV

(Last time) we recorded that your ^HTYPEFILL had built-in cooking burners that are in working order.

BURNERQ

Does ^your_the_that ^HTYPEFILL have any built-in cooking burners that are in working order?

OVENV

(Last time) we recorded that your ^HTYPEFILL had a microwave oven that is in working order.

OVENQ

Does ^your_the_that ^HTYPEFILL have a microwave oven that is in working order?

CFUELV

(Last time) we recorded that your ^HTYPEFILL used

^CKFUEL most for cooking.

CFUELQ

What fuel is used MOST for cooking--electricity, gas or something else?

If "something else," ask "What is used?"

1. Electricity

2. Gas, LP Gas (liquid propane (LP) same as bottled gas)

3. Other

4. No fuel used

REFRV

(Last time) we recorded that your ^HTYPEFILL had a refrigerator that is in working order.

Exclude ice boxes

REFRQ

Does ^your_the_that ^HTYPEFILL have a refrigerator that is in working order?

Exclude ice boxes.

SINKQ

Does ^your_the_that ^HTYPEFILL have a kitchen sink?

KEXCLU

Are these kitchen facilities ^Kitchenuse?

APPLV (Last time) we recorded that your ^HTYPEFILL had the following in working order:

^dishwasher_y ^washer_y ^apartment ^dryer_y ^apartment

If household plans to fix/replace non-working appliance soon, count it as working.

DISHWASH

(Does ^your_the_that ^HTYPEFILL have) a dishwasher in working order?

WASHQ

(Does ^your_the_that ^HTYPEFILL have) a washing machine in working

^apartment2

DRYQ

(Does ^your_the_that ^HTYPEFILL have) a clothes dryer in working

^apartment2

DFUELV

(Last time) we recorded that your dryer used ^DRFUEL.

DFUELQ

What type of fuel does the dryer use?

2. Gas, LP gas (liquid propane)

3. Other; specify

DFUELQS

Specify other dryer fuel

PUBSEWQ

Is ^your_the_that ^HTYPEFILL connected to a public sewer?

SEWDISV

(Last time) we recorded that your ^HTYPEFILL used ^ISEWDISTP septic tank or cesspool for sewage disposal.

SEWDISQ

What means of sewage disposal does ^your_the_that

^HTYPEFILL have?

1. Septic tank

2. Cesspool

3. Chemical toilet

4. Outhouse or privy

5. Other; specify

6. None

SEWDISQS

Specify other type of sewage disposal

SEWDISTP

What type of septic tank or cesspool system do you have?

Read all answer categories.

Refer to the help screen for more details on the types of septic tank or cesspool systems.

1. Standard septic tank and subsurface leach field (most common type)

2. Uses a pump to distribute wastewater

3. Elevated above natural soil surface

4. Applies treated wastewater

5. Any type not listed above

SEWDUSV

(Last time) we recorded that your ^spetic_cess was connected to

^SEWUSERS ^HOMEHOMES.

SEWDUS

How many homes are connected to the ^septic_cess?

1. One

2. 2 to 5

3. 6 or more

HOTPIPPV

(Last time) we recorded there was both hot and cold water in

^your_the_that home.

HOTPIPP

Is there both hot and cold water anywhere in ^your_the_that home?

BSINK2V

(Last time) we recorded ^your_the_that ^HTYPEFILL had a bathroom sink with running water.

BSINK2

Does ^your_the_that ^HTYPEFILL have a bathroom sink with running water?

TOILET2V

(Last time) we recorded that ^your_the_that ^HTYPEFILL had a toilet.

TOILET2

Does ^your_the_that ^HTYPEFILL have a toilet?

TUB2V

(Last time) we recorded that ^your_the_that ^HTYPEFILL had a bathtub or shower.

TUB2

Does ^your_the_that ^HTYPEFILL have a bathtub or shower?

BATHEXCLU

Earlier you reported not having a bathroom in your unit, is your bathroom:

1. Outside the apartment or unit, but inside the building?

2. Outside the building?

WFUELV (Last time) we recorded ^I_WTFUEL as the fuel used most to heat the water.

WFUELQ

What type of fuel is used MOST to heat the water?

3. Fuel oil

4. Solar energy

5. Other; specify

WFUELQS

Specify other type of water fuel

SUNFUEL

How do you use solar energy to heat your water?

1. By heating the water directly with a solar hot water system, such as a solar water heater?

2. By heating the water indirectly by powering a standard hot water heater with electricity from solar panels on your roof?

SUNFUELSP

Specify other way sun heats water

WATERV

(Last time) we recorded that most of your water came from ^I_WATERFILL.

WATERQ

Does most of the water for ^your_the_that ^HTYPEFILL come from a water system, either public or private, from an individual well, or from some other source?

1. Public or private water system (includes city water)

2. Individual well

HFUELAV

(Last time) we recorded that the fuel used most for heating your ^HTYPEFILL was ^I_HTFUEL.

HFUELA

What fuel is used MOST for heating

^your_the_that ^HTYPEFILL?

3. Fuel oil

4. Kerosene or other liquid fuel

5. Coal or coke

6. Wood

7. Solar energy

8. Other; specify

9. None

HFUELASP

Specify other type of heating fuel

"Boiler" is not a type of fuel, it is a type of heating equipment

HFUELB Is that because ^HTYPEFILL5 ^do_does2 not HAVE any heating equipment or is that because ^you_tenant1 ^your_the heating equipment?

Enter 1 if you do not have any heating equipment.

Include equipment that is broken and WILL NOT be fixed.

Enter 2 if ^not_could heating equipment. Include equipment that is TEMPORARILY broken but WILL BE fixed.

1. Do not have any heating equipment

2. Not using heating equipment

HFUELC

If ^you_tenant2 were to use ^your_the heating equipment, what type of fuel would it use?

3. Fuel oil

4. erosene or other liquid fuel

5. Coal or coke

6. Wood

7. Solar energy

8. Other, specify

9. None

HFUELCSP

Specify other type of heating fuel

HEQUIPV

(Last time) we recorded that your MAIN heating equipment was

^mainheat.

HCENTA Sometimes people have more than one type of heating equipment in ^the_their home.

Turning first to questions about ^your_the MAIN heating equipment:

Is ^your_the heating equipment designed to send heat to all or most of the rooms?

HCENTB

Does it send heat to the rooms by...?

1. Forced warm air through ducts and vents

2. Steam or hot water through radiators or pipes

3. Electric coils inside the floors, ceilings, or walls

4. Some other way

HCENTC

And is that equipment a standard electric FURNACE or is it a HEAT

PUMP?

Refer to the help screen for more details on the types of septic tank or cesspool systems.

1. Standard Electric Furnace

2. Heat Pump

HPORTA

Is ^your_the_that main heating equipment

PORTABLE so that it can be moved and used in another room, or is it NOT portable?

If "Don't Know", probe for description and decide best category.

1. Portable

2. Not Portable

HPORTB What type of portable equipment is it?

After entering answer, read category to respondent to verify classification.

1. Unvented room heaters

2. Portable electric heaters

HPORTBSP

Specify other type of portable heater

HPORTC

What type of equipment is it?

1. Floor, wall or other pipleless furnace built into the structure

2. Built-in electric baseboard heaters

3. Vented room heaters burning kerosene, gas or oil

4. Unvented room heaters burning kerosene, gas or oil

5. Cooking stove (gas or electric)

6. Woodburning stove, pot belly stove, Franklin stove, or pellet stove

7. Fireplaces with inserts

8. Fireplaces without inserts

9. Other

HPORTD

Specify other main heating equipment type not reported until now.

1. Forced warm air furnace with ducts and vents to the individual rooms

2. Electric heat pump

3. Steam or hot water system with radiators or other system using steam or hot water

4. Electric coils in floors, ceilings or walls

5. Unvented room heaters burning kerosene, gas or oil

6. Portable electric heaters

7. Other; specify

HPORTDSP

Specify type of nonportable heating equipment

FPLWKQV

(Last time) we recorded that ^your_the ^HTYPEFILL had a usable fireplace.

FPLWKQ

Does ^your_the ^HTYPEFILL have a usable fireplace?

FPHEQPV

(Last time) we recorded that you considered ^your_the fireplace to be heating equipment.

FPHEQP

Do you consider ^your_the_that fireplace to be heating equipment?

If more than 1 fireplace, enter "Yes" if any considered heating equipment.

SHTEQP

Earlier you reported Primary heating source as a heating source.

^do_does2 Used in SHTEQP for heating equip use any other sources to heat ^your_this1 home?

SHTEQP1

What ^do_does2 Used in SHTEQP for heating equip use?

IF MORE THAN ONE SOURCE REPORTED, ASK: Of those sources you just mentioned, what ^do_does2 Used in SHTEQP for heating equip use first?

1. Electric or gas cookstove

2. Built-in electric unit(s)

3. Forced warm air furnace with ducts and vents to the individual rooms

4. Electric heat pump

5. Gas oven with the door open

6. Floor, wall or other pipeless furnace built into the structure

7. Portable electric heater(s)

8. Steam or hot water system with radiators or other system using steam or hot water

9. Woodburning, pot belly, Franklin stove(s), or pellet stoves

10. Room heater(s) vented to the outside through a chimney, flue, or pipes

11. Unvented room heater(s)

12. Outdoor wood fired boiler

13. Something else

SHTEQP2a You reported Reported supplemental heating sources as additional heating source(s). ^do_does2 Used in SHTEQP for heating equip use any other sources to heat ^your_this1 home?

SHTEQP2

What do Used in SHTEQP for heating equip use?

IF MORE THAN ONE SOURCE REPORTED, ASK: Of those sources you just mentioned, what ^do_does2 Used in SHTEQP for heating equip use first?

1. Electric or gas cookstove

2. Built-in electric unit(s)

3. Forced warm air furnace with ducts and vents to the individual rooms

4. Electric heat pump

5. Gas oven with the door open

6. Floor, wall or other pipeless furnace built into the structure

7. Portable electric heater(s)

8. Steam or hot water system with radiators or other system using steam or hot water

9. Woodburning, pot belly, Franklin stove(s), or pellet stoves

10. Room heater(s) vented to the outside through a chimney, flue, or pipes

11. Unvented room heater(s)

12. Outdoor wood fired boiler

13. Something else

MONOX

^Do_Is2 a working carbon monoxide detector inside ^your_the_that ^HTYPEFILL?

AIRSYS1

Does ^your_the ^pump_equipment provide air conditioning for

^your_the home?

OARSYS1

^Besides_Does2 ^your_the_that home have another central air conditioning system?

OAFUEL1

What kind of fuel does this other central air conditioning system use?

ARSYS2V (Last time) we recorded that your ^HTYPEFILL had central air conditioning.

Swamp coolers are considered central air conditioning.

AIRSYS2

Does ^your_the_that ^HTYPEFILL have central air conditioning?

Swamp coolers are considered central air conditioning.

AFUELV

(Last time) we recorded that your central air conditioning used ^I_ACFUEL.

AFUELQ

What kind of fuel does it use?

OARSYS2

Does ^your_the_that home have another central air conditioning system?

OAFUEL2 What kind of fuel does this other central air conditioning system use?

AIR

^Do_Does any room air conditioners?

NUMAIR

How many?

Enter 8 for 8 or more

GASPI2

Is the gas used in ^your_the_that home natural gas from underground pipes that serve the neighborhood or from propane or bottled gas?

1. Natural gas from underground pipes

2. Propane (bottled gas)

BRKDNINTRO

The next series of questions are about problems that some people have experienced with their homes. We are interested in knowing if you have experienced these types of problems too.

1. Enter 1 to Continue

FREEZEQ

Last winter, for any reason, was your ^HTYPEFILL so cold for 24 hours or more that ^you_one uncomfortable?

Do not count visitors, only household members

IFCOLD

Was that because the MAIN heating equipment broke down?

NUMCOLD

How many times did the MAIN heating equipment break down for 6 hours or more?

OTHCLD

Was it cold for any other reason?

OTHCOLD2

What was the reason?

If power outage is reported as a reason, categorize as 1. Utility interruption

1. Utility Interruption

2. Inadequate heating capacity

3. Inadequate insulation, includes inadequate window insulation

4. Cost of heating

5. Other

IFDRY

Was your home ever COMPLETELY without running water ^since_in - -that is, since ^date?

NUMDRY

How many times was it not available for 6 hours or more?

IFTLT1

Was there any time ^you_household when ^all_your BROKEN, or

STOPPED UP, or otherwise NOT WORKING, so you COULDN'T USE ^any_it?

IFTLT2

Did that happen at all WITHIN THE PAST THREE MONTHS, that is, since

^date?

NUM3TLT

How many times since ^date ^were_was2 not working?

NUMTLT

And how many of those times ^were_was not working for SIX HOURS or MORE?

LEAK1

These next questions are about water leaks-either from OUTSIDE your

^HTYPEFILL ^building or from INSIDE.

While ^youve_your been living here, did water ever leak INTO your ^HTYPEFILL ^building ^directly FROM THE OUTSIDE--for example, through the roof, ^outside walls, ^basement or any closed windows or skylights?

2. No outside water leaks

LEAK2

Did water leak in from the outside within the past 12 months--that is since ^year_date?

WHERELK

Did the water come in from the --

Read aloud all bolded categories

1. Roof?

2. Basement?

3. Walls or around closed windows or closed doors?

4. Somewhere else (specify)?

OTLEAKSP

Enter description of source of other OUTSIDE water leak

ILEAK1

Now about water leaks from INSIDE. Since ^youve_your lived here, did water leak in--from broken pipes or water heaters, backed up plumbing, ^another_any ^home_apt_living?

ILEAK2

Did any inside water leaks happen within the past 12 months--that is, since ^year_date?

WHERELK2

Where did the water come from?

1. Own plumbing fixtures back up and/or overflowed

2. Pipes leaked (include pipe leaks from other apartments)

3. Broken water heater

4. Other, specify

5. Unknown

NLEAKSP

Enter description of source of other INSIDE water leak

IFSEW

Did the sewage system break down ^since_within--that is, since ^date?

NUMSEW

How many of these breakdowns lasted 6 hours or more?

MOLD

reference time for utility costs, was there mold covering an area greater than or equal to the size of an 8 1/2" x 11" piece of paper in your

^HTYPEFILL?

MLDROOM

Was the mold in the...

1. Kitchen?

2. Bathroom(s)?

3. Bedrooms(s)?

4. Living Room?

5. Basement?

6. None of the above?

NOWIREV ? [F1]

Last time we recorded that all the electrical wiring in the finished areas of ^your_the home was concealed in the walls or in protective metal or plastic coverings.

Exclude appliance cords, extension cords, chandelier cords, phone antenna, cable TV wires, etc.

1. Yes, wiring still concealed or covered

2. No, wiring not concealed or not covered

3. No electrical wiring

NOWIREQ

Is all the electrical wiring in the finished areas of ^your_the home either concealed inside walls or under protective metal or plastic coverings?

Exclude appliance cords, extension cords, chandelier cords, phone, antenna, cable TV wires, etc.

1. Yes, wiring concealed

2. No, wiring not concealed

3. No electrical wiring

PLUGSV

(Last time) we recorded that every room had an electrical outlet or wall plug that worked.

PLUGSQ

Does every room have an electrical outlet or wall plug that works?

IFBLOW

Have any fuses blown or circuit breakers tripped ^three_since -- that is, since ^date?

NUMBLOW

How many times ^three_since?

CRACKS

People sometimes have problems with cracks or holes in ^their floors, walls, or ceilings -- not hairline cracks or nail holes, but OPEN cracks or holes.

In the INSIDE walls or ceilings of ^your_the_that ^HTYPEFILL, are there any OPEN HOLES or CRACKS WIDER THAN THE EDGE OF A DIME?

HOLES

How about the floors in ^your_the_that ^HTYPEFILL -- ^do_are any holes in the floors big enough for someone to catch their foot on?

(About 4 inches across -- About the height of a soup can)

ECRUMB

The next questions are about the CONDITION of the outside of ^your_the ^home_mobile_building.

Are there holes or open cracks or crumbling in the foundation of ^your_the ^home_mobile_building -- that is, in the base on which the ^home_mobile_building stands?

(Do not count holes made for ventilation)

EMISSR

Does the roof have missing shingles or other missing roofing materials?

(Do not count…