1990 Census of Puerto Rico

The 1990 census must count every person at his or her "usual residence." This means the place where the person lives and sleeps most of the time.

Include

-- Everyone who usually lives here such as family members, housemates and roommates, foster children, roomers, boarders, and live-in employees
-- Persons who are temporarily away on a business trip, on vacation, or in a general hospital
-- College students who stay here while attending college
-- Persons in the Armed Forces who live here
-- Newborn babies still in the hospital
-- Children in boarding schools below the college level
-- Persons who stay here most of the week while working even if they have a home somewhere else
-- Persons with no other home who are staying here on April 1

Do not include

-- Persons who usually live somewhere else
-- Persons who are away in an institution such as a prison, mental hospital, or a nursing home
-- College students who live somewhere else while attending college
-- Persons in the Armed Forces who live somewhere else
-- Persons who stay somewhere else most of the week while working

1a.Please give me the name of each person living here on Sunday, April 1, including all persons staying here who have no other home. If everyone at this address is staying here temporarily and usually lives somewhere else, give me the name of each person. Begin with the household member in whose name this home is owned, being bought, or rented. If there is no such person, start with any adult household member.

Print last name, first name, and middle initial for each person.
1. ____ ____ ____
2. ____ ____ ____
3. ____ ____ ____
4. ____ ____ ____
5. ____ ____ ____
6. ____ ____ ____
7. ____ ____ ____
8. ____ ____ ____
9. ____ ____ ____
10. ____ ____ ____
11. ____ ____ ____
12. ____ ____ ____

1b.If everyone is staying here only temporarily and usually lives somewhere else, mark (X) this box [] and ask -- Where do these people usually live?. Do not print the address listed in item G on the front cover.

____ House number
____ Street or road/Rural route and box number
____ Apartment number
____ City
____ State or Puerto Rico
____ ZIP Code
____ County/Municipio/Foreign country
____ Names of nearest intersecting streets or roads

Please fill one column for each person listed in Question 1a on page 1.

____ Last name
____ First name
_ Middle initial

2. How is [respondent] related to PERSON 1?

Mark (X) for each person.

If other relative of person in column 1, mark (X) the box and print exact relationship, such as mother-in-law, grandparent, son-in-law, niece, cousin, and so on.

Start in this column with the household member (or one of the members) in whose name the home is owned, being bought or rented. If there is no such person, start in this column with any adult household member.

If a relative of Person 1:

[] 1 Husband/wife
[] 2 Natural-born or adopted son/daughter
[] 3 Stepson/stepdaughter
[] 4 Brother/sister
[] 5 Father/mother
[] 6 Grandchild
[] 7 Other relative:
____________________

If not related to Person 1:

[] 8 Roomer, boarder, or foster child
[] 9 Housemate, roommate
[] 10 Unmarried partner
[] 11 Other non-relative

[Fill one circle to show how each person is related to the person in column 1. If Other relative of the person in column 1, print the exact relationship such as son-in-law, daughter-in-law, grandparent, nephew, niece, mother-in-law, father-in-law, cousin, and so on. If the Stepson/stepdaughter of the person in column 1 also has been legally adopted by the person in column 1, mark Stepson/stepdaughter but do not mark Natural-born or adopted son/daughter. In other words, Stepson/stepdaughter takes precedence over Adopted son/daughter.]

3. Is [respondent] male or female?

Mark (X) one for each person.

[] 1 Male
[] 2 Female

4. Age and year of birth

a. Age _ _ _

b. Year of birth 1_ _ _ _

5. Marital status

Mark (X) one box.

[] 1 Now married
[] 2 Consensually married
[] 3 Widowed
[] 4 Divorced
[] 5 Separated
[] 6 Never married

6. Where was [respondent] born?

Mark (X) the appropriate box and print the name of municipio, State, or foreign country.

[] 1 Puerto Rico --> print name of municipio ____
[] 2 United States --> print name of U.S. State ____
[] 3 Elsewhere --> print name of foreign country ____

If the answer to question 6 appears in one of the first two "Yes" categories listed below, mark (X) the appropriate "Yes" category. Otherwise, ask

7. Is [respondent] a citizen of the United States? That is does [respondent] have at least one American parent or is [respondent] a citizen by naturalization?

[] 1 Yes, born in Puerto Rico -- Skip to 9
[] 2 Yes, born in the United States, Guam, the U.S. Virgin Islands, or Northern Marianas
[] 3 Yes, born abroad of American parent or parents
[] 4 Yes, U.S. citizen by naturalization
[] 5 No, not a citizen of the United States

8. When did [respondent] come to Puerto Rico to stay?

If entered country more than once, ask -- What is the latest year?

[] 0 1987 to 1990
[] 1 1985 or 1986
[] 2 1982 to 1984
[] 3 1980 or 1981
[] 4 1975 to 1979
[] 5 1970 to 1974
[] 6 1965 to 1969
[] 7 1960 to 1964
[] 8 1950 to 1959
[] 9 Before 1950

9. At any time since February 1, 1990, has [respondent] attended regular school or college?

Include only pre-kindergarten, kindergarten, elementary school, and schooling which leads to a high school diploma or a college degree.

If "Yes," ask -- Public or private?

[] 1 No, has not attended since February 1
[] 2 Yes, public school, public college
[] 3 Yes, private school, private college

10. How much school has [respondent] completed?

Read categories if person is unsure. Mark (X) one box for the highest level completed or degree received. If currently enrolled, mark the previous grade attended or highest degree received.

[] 30 No school completed
[] 31 Pre-kindergarten
[] 32 Kindergarten

Grades 1 - 11
[] 1 1st
[] 2 2nd
[] 3 3rd
[] 4 4th
[] 5 5th
[] 6 6th
[] 7 7th
[] 8 8th
[] 9 9th
[] 10 10th
[] 11 11th
[] 12 12th grade, no diploma
[] 13 High school graduate -- high school diploma or the equivalent (for example: GED)
[] 14 Some college but no degree
[] 15 Associate degree in college -- Occupational program
[] 16 Associate degree in college -- Academic program
[] 17 Bachelor's degree (for example: BA, AB, BS)
[] 18 Master's degree (for example: MA, MS, MEng, MEd, MSW, MBA)
[] 19 Professional school degree (for example: MD, DDS, DVM, LLB, JD)
[] 20 Doctorate degree (for example: PhD, EdD)

11a. Where was [respondent's] father born?

[] 1 Puerto Rico
[] 2 United States
[] 3 Elsewhere -- Print name of foreign country: ____

11b. Where was [respondent's] mother born?

[] 1 Puerto Rico
[] 2 United States
[] 3 Elsewhere -- Print name of foreign country: ____

12a. If person was born after April 1, 1985, mark (X) that box without asking 12a, and go to the next person.

Did you live at the address reported in question 2b 5 years ago (on April 1, 1985)?

[] Yes -- Skip to 13a
[] No

12 b. Where did [respondent] live 5 years ago (on April 1, 1985)?

1) Print Puerto Rico or the name of U.S. State or foreign country

____

2) Print the name of the municipality in Puerto Rico or the name of the county in the U.S.

____

3) Print the name of city, town or village

____

13a. During the last 10 years, did [respondent] live in the United States at any time for a period of 6 or more consecutive months?

[] 1 Yes
[] 2 No -- Skip to 14

13b. How long did [respondent] live in the United States during the last period of 6 or more months?

[] 1 6 months to a year
[] 2 1 to 2 years
[] 3 3 to 4 years
[] 4 5 years
[] 5 6 to 9 years
[] 6 10 or more years

13c. When did [respondent] come or return to Puerto Rico after that period in the U.S.?

[] 1 1990
[] 2 1989
[] 3 1988
[] 4 1987
[] 5 1986
[] 6 1985
[] 7 1984
[] 8 1983
[] 9 1980 to 1982

13d. During the last period [respondent] lived in the United States for 6 or more months, what was [respondent's] main activity?

[] 1 In the U.S. Armed Forced
[] 2 Working at a job or business (either full or part-time)
[] 3 Attending school or college
[] 4 Something else

14. Does [respondent] know how to read and write (in any language)?

[] 1 Yes
[] 2 No

15a. Can [respondent] speak Spanish?

[] 1 Yes
[] 2 No

15b. Can [respondent] speak English? If "Yes", does [respondent] speak English easily or with difficulty?

[] 1 Yes, easily
[] 2 Yes, with difficulty
[] 3 No

16. Interviewer check item

Mark (X) one box based on question 4.

[] 1 Born before April 1, 1975 -- go to 17
[] 2 Born April 1, 1975 or later -- go to questions for the next person

[Questions 17 through 34 are for individuals aged 15 and over]

If [respondent] is a female, ask--

17. How many babies has she [respondent] ever had, not counting still births?

Do not count her stepchildren or children [respondent] has adopted.

[] None
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10
[] 11
[] 12 or more

18a. Has [respondent] ever been on active-duty military service in the Armed Forces of the United States or ever been in the United States military Reserves or the National Guard?
"Active duty" does not include training for the military Reserves or National Guard.

[] 1 Yes, now on active duty
[] 2 Yes, on active duty in past, but not now
[] 3 Yes, service in Reserves or National Guard only -- Skip to 19
[] 4 No -- Skip to 19

18b. Did [respondent] serve on active duty during --
Read each category and mark (X) each box for which the answer is "Yes".

[] 1 September 1980 or later
[] 2 May 1975 to August 1980
[] 3 Vietnam era (August 1964 - April 1975)
[] 4 February 1955 - July 1964
[] 5 Korean conflict (June 1950 - January 1955)
[] 6 World War II (September 1940 - July 1947)
[] 7 World War I (April 1917 - November 1918)
[] 8 Any other time

18c. In total, how many years of active-duty military service have you had?

____ Years

19. Does [respondent] have a physical, mental, or other health condition that has lasted for 6 or more months and which --

19a. Limits the kind or amount of work [respondent] can do at a job?

[] 1 Yes
[] 2 No

19b. Prevents [respondent] from working at a job?

[] 1 Yes
[] 2 No

20. Because of a health condition that has lasted for 6 or more months, does [respondent] have any difficulty --

20a. Going outside the home alone, for example, to a shop or visit a doctor's office?

[] 1 Yes
[] 2 No

20b. Taking care of his or her own personal needs, such as bathing, dressing, or getting around inside the home?

[] 1 Yes
[] 2 No

21a. Has [respondent] completed the requirements for a vocational training program at a trade school, business school, hospital or some other kind of school for occupational training?

Do not include academic college courses.

[ ] 1 Yes
[ ] 2 No - Skip to 22b

21b. At which kind of school was the training received?

[ ] 1 Business school, trade school or junior college
[ ] 2 High school vocational program
[ ] 3 Training program at place of work
[ ] 4 Other school -- Specify --> ____

22a. Did [respondent] work at any time last week, either full time or part time?

Work includes part-time work such as delivering papers, or helping without pay in a family business or farm; it also includes active duty in the U.S. Armed Forces. Work does NOT include own housework, school work, or volunteer work.

[] 1 Yes
[] 2 No -- Skip to 26.

22b. How many hours did [respondent] work last week (at all jobs)?
Subtract any time off; add overtime or extra hours worked.

____ Hours

23a. Where did [respondent] usually work last week?

If [respondent] worked at more than one location, ask--
Where did [respondent] work most last week?

[] 1 In U.S. State or foreign country -- Skip to 23d
[] 2 In Puerto Rico -- Continue with 23b.

23b. What is the name of the city, town or village?

____

23c. What is the name of the municipio?

____

23d. What is the name of the U.S. State or foreign country?

____

24a. What type of transportation did [respondent] usually use to get to work last week? If more than one method of transportation usually was used during the trip, mark (X) the box of the one used for most of the distance.

[] 1 Car, truck, or van
[] 2 Bus
[] 3 Publico
[] 4 Ferryboat
[] 5 Taxicab
[] 6 Motorcycle
[] 7 Bicycle
[] 8 Walked
[] 9 Worked at home -- Skip to 29
[] 10 Other method

24b. Ask only if "car, truck, or van" is marked in 24a.
How many people, including [respondent], usually rode together last week?

[] 1 Drove alone
[] 2 2 people
[] 3 3 people
[] 4 4 people
[] 5 5 people
[] 6 6 people
[] 7 7 to 9 people
[] 8 10 or more people

25a. What time did [respondent] usually leave home to go to work last week?
"Usually" means on most days last week.

____

[] 1 a.m.
[] 2 p.m.

25b. How many minutes did it usually take [respondent] to get from home to work last week?

____ Minutes -- Skip to 29

26. Was [respondent] on layoff from a job or business last week?
If "No," ask -- Was [respondent] temporarily absent or on vacation from a job or business last week?

[] 1 Yes, on layoff
[] 2 Yes, on vacation, temporary illness, labor dispute, etc.
[] 3 No

27a. Has [respondent] been looking for work during the last 4 weeks?

[] 1 Yes
[] 2 No -- Skip to 28

27b. Could [respondent] have taken a job last week if one had been offered?
If "No," ask -- For what reason?

[] 1 No, already has a job
[] 2 No, temporarily ill
[] 3 No, other reasons (in school, etc.)
[] 4 Yes, could have taken job

28. When did [respondent] last work, even for a few days?

[] 1 1990 -- Go to 29
[] 2 1989 -- Go to 29
[] 3 1988 -- Go to 29
[] 4 1985 to 1987 -- Go to 29
[] 5 1980 to 1984 -- Skip to 33
[] 6 1979 or earlier -- Skip to 33
[] 7 Never worked -- Skip to 33

29-31. The following questions ask about the job worked last week. If [respondent] had more than one job, describe the one [respondent] worked the most hours. If [respondent] didn't work, the questions refer to the most recent job or business since 1985.

29a. For whom did [respondent] work?

If now on active duty in the U.S. Armed Forces, mark (X) this box ---> 1 [] and print the branch of the Armed Forces. If not Armed Forces, print the name of the company, business or other employer. --- >

____

29b. What kind of business or industry was this?
Describe the activity at location where employed.

____

(For example: hospital, newspaper publishing, mail order house, retail bakery)

29c. Is this mainly manufacturing, wholesale trade, retail trade, or something else?

[] 1 Manufacturing
[] 2 Wholesale trade
[] 3 Retail trade
[] 4 Other (agriculture, construction, service, government, etc.)

30a. What kind of work was [respondent] doing?

____

(For example: registered nurse, personnel manager, supervisor of order department,
cake icer)

30b. What were [respondent's] most important activities or duties?

____

(For example: patient care, directing hiring policies, supervising order clerks, icing cakes)

b. What is your pay grade?
Enter two-character code. (For example: E-4, 0-3)

____

31. Was [respondent]
Read list. Mark (X) one box.

[] 1 Employee of a private for profit company or business or of an individual, for wages, salary, or commissions
[] 2 Employee of a private not-for-profit, tax-exempt, or charitable organization
[] 3 Municipal government employee (city, municipio, etc.)
[] 4 Commonwealth government employee
[] 5 Federal government employee
[] 6 Self-employed in own not incorporated business, professional practice, or farm
[] 7 Self-employed in own incorporated business, professional practice, or farm
[] 8 Working without pay in family business or farm

32a. Last year (1989), did [respondent] work, even for a few days, at a paid job, business, farm, or on active-duty military service?

[] 1 Yes
[] 2 No -- Skip to 33

32b. How many weeks did [respondent] work in 1989?
Count paid vacation, paid sick leave, and military service.

____ Weeks

32c. During the weeks worked in 1989, how many hours did [respondent] usually work each week?

____ Hours

33. The following questions are about income received during 1989

If an exact amount is not known, accept a best estimate. If net income in b, c, d or question 34 was a loss, write "Loss" above the dollar amount.

33a. Did [respondent] earn income from wages, salary, commissions, bonuses, or tips? -- Report amount before deductions for taxes, bonds, dues, or other items.

[] 1 Yes-- How much from all jobs?

____ Annual amount -- Dollars

[] 2 No

33b. Did [respondent] earn income from (his/her) own nonfarm business, proprietorship or partnership --
Report net income after business expenses.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

33c. Did [respondent] earn income from (his/her) own farm business? -- Include earnings as a tenant farmer or sharecropper. Report net income after operating expenses.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

33d. Did [respondent] receive any interest, dividends, net rental or royalty income, or income from estates and trusts?
Include payments as a retired worker, dependent, or disabled worker.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

33e. Did [respondent] receive any Social Security or Railroad Retirement payments? Include payments as a retired worker, dependent, or disabled worker.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

33f. Did [respondent] receive any income from government programs for Supplemental Security Income (SSI), Aid to Families with Dependent Children (AFDC), food stamps, or other public assistance or public welfare payments.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

33g. Did [respondent] receive any income from retirement, survivor, or disability pensions?
Include payments from companies, unions, Federal, State, and local governments, and the U.S. military. Do not include Social Security.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

33h. Did [respondent] receive any income from Veterans' (VA) payments, unemployment compensation, child support, or alimony, or any other regular source of income? -- Do not include lump-sum payments such as money from an inheritance or the sale of a home.

[] 1 Yes-- How much?

____ Annual amount -- Dollars

[] 2 No

34. Do not ask this question if 33a through 33h are complete. Instead, sum these entries and enter the amount below.

What was [respondent's] total income in 1989?

[] None

____ Annual amount -- Dollars

Questions for this household

H1a. When you told me the names of persons living here on April 1, did you leave anyone out because you were not sure if the person should be listed -- for example, someone temporarily away on a business trip or vacation, a newborn baby still in the hospital, or a person who stays here once in a while and has no other home?

[] 1Yes-- Determine if you should add the person(s) based on the instructions for Question 1a.
[] 2 No

H1b. When you told me the names of persons living here on April 1, did you include anyone in your list even though you were not sure that the person should be listed -- for example, a visitor who is staying here temporarily or a person who usually lives somewhere else?

[] 1Yes-- Determine if you should add the person(s) based on the instructions for Question 1a.
[] 2 No

H2. Which best describes this building? Include all apartments, flats, etc., even if vacant.

[] 1 A mobile home or trailer
[] 2 A one-family house detached from any other house
[] 3 A one-family house attached to one or more houses
[] 4 A building with 2 apartments
[] 5 A building with 3 or 4 apartments
[] 6 A building with 5 to 9 apartments
[] 7 A building with 10 to 19 apartments
[] 8 A building with 20 to 49 apartments
[] 9 A building with 50 or more apartments
[] 10 Other

H3. How many rooms do you have in this house or apartment?

Count living rooms, dining rooms, kitchens, and bedrooms, but do not count bathrooms, balconies, foyers, halls, or halls.

[] 1 1 room
[] 2 2 rooms
[] 3 3 rooms
[] 4 4 rooms
[] 5 5 rooms
[] 6 6 rooms
[] 7 7 rooms
[] 8 8 rooms
[] 9 9 or more rooms

H4a . Is there hot and cold piped water in this (house/apartment)?

[ ] 1 Yes, hot and cold piped water
[ ] 2 No, only cold piped water
[ ] 3 No piped water -- Skip to H4d

H4b . Is there a bathtub or shower in this (house/apartment)?

[ ] 1 Yes
[ ] 2 No bathtub or shower

H4c. Is there a flush toilet in this (house/apartment)?

[ ] 1 Yes -- Skip to H5
[ ] 2 No -- Go to H4d

H4d. What type of toilet facilities do you have?

[ ] 1 Privy
[ ] 2 Other or none

H5. Is this (house/apartment) part of a condominium?
A condominium is a building or development with individually owned apartments or houses, having commonly owned areas and grounds.

[ ] 1 Yes
[ ] 2 No

H6. Is this (house or apartment) --

[] 1 Owned by you or someone in this household with a mortgage or loan?
[] 2 Owned by you or someone in this household free and clear (without a mortgage)?
[] 3 Rented for cash rent?
[] 4 Occupied without payment of cash rent?

[Ask question 7 if this is a one-family house]

H7a. Is this house on a 3 or more cuerdas?

[] 1 Yes
[] 2 No

H7b. Is any part of the property used as:

1. A commercial establishment?

[] 1 Yes
[] 2 No

2. A medical office?

[] 1 Yes
[] 2 No

3. Other professional office?

[] 1 Yes
[] 2 No

H8. Ask only if someone in this household owns or is buying this house or apartment --

What is the value of this property; that is, how much do you think this house and lot or condominium unit would sell for if it were for sale?

[] 1 Less than $10,000
[] 2 $10,000 to $14,999
[] 3 $15,000 to $19,999
[] 4 $20,000 to $24,999
[] 5 $25,000 to $29,999
[] 6 $30,000 to $34,999
[] 7 $35,000 to $39,999
[] 8 $40,000 to $44,999
[] 9 $45,000 to $49,999
[] 10 $50,000 to $54,999
[] 11 $55,000 to $59,999
[] 12 $60,000 to $64,999
[] 13 $65,000 to $69,999
[] 14 $70,000 to $74,999
[] 15 $75,000 to $79,999
[] 16 $80,000 to $89,999
[] 17 $90,000 to $99,999
[] 18 $100,000 to $124,999
[] 19 $125,000 to $149,999
[] 20 $150,000 to $174,999
[] 21 $175,000 to $199,999
[] 22 $200,000 to $249,999
[] 23 $250,000 to $299,999
[] 24 $300,000 to $399,999
[] 25 $400,000 to $499,999
[] 26 $500,000 or more

Ask only if rent is paid for this house or apartment.

H9. What is the monthly rent?
If rent is not paid by the month, see your job instructions on how to figure out a monthly rent.

[] 1 Less than $60
[] 2 $60 to $79
[] 3 $80 to $99
[] 4 $100 to $124
[] 5 $125 to $149
[] 6 $150 to $174
[] 7 $175 to $199
[] 8 $200 to $224
[] 9 $225 to $249
[] 10 $250 to $274
[] 11 $275 to $299
[] 12 $300 to $324
[] 13 $325 to $349
[] 14 $350 to $374
[] 15 $375 to $399
[] 16 $400 to $424
[] 17 $425 to $449
[] 18 $450 to $474
[] 19 $475 to $499
[] 20 $500 to $549
[] 21 $550 to $599
[] 22 $600 to $649
[] 23 $650 to $699
[] 24 $700 to $749
[] 25 $750 to $999
[] 26 $1,000 or more

H10a. Is this house on --

[ ] 1 Less than 3 cuerdas
[ ] 2 3 to 9 cuerdas
[ ] 3 10 or more cuerdas

H10b. In 1989, what were the actual sales of all agricultural products from this property?

[ ] 1 None
[ ] 2 $1 to $99
[ ] 3 $100 to $499
[ ] 4 $500 to $999
[ ] 5 $1,000 to $2,499
[ ] 6 $2,500 or more

H11. When did the person listed in column 1 on page 2 move into this house or apartment?

[] 1 1989 or 1990
[] 2 1985 to 1988
[] 3 1980 to 1984
[] 4 1970 to 1979
[] 5 1960 to 1969
[] 6 1959 or earlier

H12. About when was this building first built?

[] 1 1989 or 1990
[] 2 1985 to 1988
[] 3 1980 to 1984
[] 4 1970 to 1979
[] 5 1960 to 1969
[] 6 1950 to 1959
[] 7 1940 to 1949
[] 8 1939 or earlier
[] 9 Don't know

H13. Which best describes the construction material of this building?
Read categories and mark (X) only ONE box.
Concrete walls (poured concrete, concrete blocks, stone, etc.)

[ ] 1 With concrete slab roof
[ ] 2 With wood frame roof

Wood frame walls

[ ] 3 With concrete foundation, poured concrete, etc.
[ ] 4 With wood stilt foundation
[ ] 5 Mixed concrete and wood walls
[ ] 6 Other type of construction material

H14. Do you get water from --

1 [ ] A public system?
2 [ ] An individual well?
3 [ ] A cistern, tanks, or drums?
4 [ ] A spring or some other source, such as a river, irrigation canal, etc.?

H15. Is this building connected to a public sewer?

[ ] 1 Yes
[ ] 2 No, connected to septic tank or cesspool
[ ] 3 No use other means

H16. How many bedrooms do you have; that is, how many bedrooms would you list if this (house/apartment) were on the market for sale or rent?

[ ] 1 No bedroom
[ ] 2 1 bedroom
[ ] 3 2 bedrooms
[ ] 4 3 bedrooms
[ ] 5 4 bedrooms
[ ] 6 5 or more bedrooms

H17. How many bathrooms do you have?
A complete bathroom is a room with flush toilet, bathtub or shower, and wash basin with piped water. A half bathroom has a flush toilet and a wash basin with piped water.

[ ] 1 None
[ ] 2 Only half bathrooms
[ ] 3 1 complete bathroom
[ ] 4 1 complete bathroom, plus half bath(s)
[ ] 5 2 or more complete bathrooms

H18. What type of water heater do you have in this (house/apartment)?

[ ] 1 Electric
[ ] 2 Shower
[ ] 3 Solar
[ ] 4 Other
[ ] 5 None

H19. Which fuel is used for cooking?

[] 1 Electricity
[] 2 Gas
[] 3 Other

H20. Do you have complete kitchen facilities; that is, a sink with piped water, a range or cookstove, and a refrigerator?

[ ] 1 Yes
[ ] 2 No

H21. Do you have air conditioning?

[ ] 1 Yes, a central air conditioning system
[ ] 2 Yes, 1 individual room unit
[ ] 3 Yes, 2 or more individual room units
[ ] 4 No

H22. Do you have a telephone in this (house/apartment)?

[ ] 1 Yes
[ ] 2 No

H23. How many vans or trucks are kept at home for use by members of your household?

[ ] 1 None
[ ] 2 1
[ ] 3 2
[ ] 4 3
[ ] 5 4 or more

H24a. What is the average monthly cost for electricity for this house or apartment?

$__________ .00 Average monthly cost

[] 1 Included in rent or in condominium fee
[] 2 No charge or electricity not used

H24b. What is the average monthly cost for gas for this house or apartment?

$__________ .00 Average monthly cost

[] 1 Included in rent or in condominium fee
[] 2 No charge or electricity not used

H24c. What is the average monthly cost for water for this house or apartment?

$__________ .00 Average monthly cost

[] 1 Included in rent or in condominium fee
[] 2 No charge or electricity not used

H24d. What is the average monthly cost for oil, charcoal, kerosene, wood, etc. for this house or apartment?

$__________ .00 Average monthly cost

[] 1 Included in rent or in condominium fee
[] 2 No charge or electricity not used

Interviewer Instruction: Ask questions H25 through H29, if this is a one-family house, a condominium, or a mobile home that someone in this household owns or is buying; otherwise, go to H30.

H25. What were the real estate taxes on this property last year?

$_____________ .00 Yearly amount -- Dollars

[] 0 None

H26. What was the annual payment for fire, hazard, and flood insurance on this property?

$_____________ .00 Yearly amount -- Dollars

[] 0 None

H27a. Is there a mortgage, deed of trust, contract to purchase, or similar debt on this property?

[] 1 Yes, mortgage, deed of trust, or similar debt -- Go to H27b
[] 2 Yes, contract to purchase -- Go on to question H27b
[] 3 No -- Skip to H28a

H27b. How much is your regular monthly mortgage payment on this property? Include payment only on first mortgage or contract to purchase.

$_______________ .00 Monthly amount -- Dollars

[] 0 No regular payment required -- [Go on to question H24a]

H27c. Does your regular monthly mortgage payment include payments for real estate taxes on this property?

[] 1 Yes, taxes included in payment
[] 2 No, taxes paid separately or taxes not required

H27d. Does your regular monthly mortgage payment include payments for fire, hazard, or flood insurance on this property?

[] 1 Yes, insurance included in payment
[] 2 No, insurance paid separately or no insurance

H28a. Is there a second or junior mortgage or a home equity loan on this property?

[] 1 Yes
[] 2 No -- Skip to H29

H28b. How much is the regular monthly payment on all second or junior mortgages and all home equity loans?

$_______________ .00 Monthly amount -- Dollars

Or

[] No regular payment required

H29. Answer only if this is a condominium.

What is the monthly condominium fee?

$________________ .00 Monthly amount -- Dollars

H30.Mark from observation.

Condition of this housing unit

H30a. Original construction

[ ] 1 Adequate
[ ] 2 Inadequate

H30b. If "adequate" - present condition is -

[ ] 1 Sound
[ ] 2 Deteriorating
[ ] 3 Dilapidated

For enumerator use

C1. Vacancy Status

[ ] 1 For rent
[ ] 2 For sale only
[ ] 3 Rented or sold, not occupied
[ ] 4 For seasonal, recreational or other occasional use
[ ] 5 For migrant workers
[ ] 6 Other vacant

C2. Is this unit boarded up?

[ ] 1 Yes
[ ] 2 No

D. Months vacant

[ ] 1 Less than 1
[ ] 2 1 up to 2
[ ] 3 2 up to 6
[ ] 4 6 up to 12
[ ] 5 12 up to 24
[ ] 6 24 or more

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