Questionnaire Text

Questionnaire form view entire document: text image

Household questionnaire

Step E
Questions E1-E10 are about this dwelling.
The questions refer to May 10, 2011 unless otherwise specified.

E1. Who pays the rent or mortgage, taxes, electricity, etc., for this dwelling?

If more than one person contributes to such payments, mark "x" as many circles as apply.

[] Person 1
[] Person 2
[] Person 3
[] Person 4
[] Person 5
[] A person who is listed on another questionnaire for this dwelling
[] A person who does not live here

Questionnaire instructions view entire document: text image

Step E: Housing
Questions E1 to E10 provide information to develop housing communities and projects.

Information on the number of rooms and bedrooms in homes and on housing costs is used to assess the economic situation of families. Governments use this information to measure levels of crowding within households and to develop housing programs.

Information on the age of dwellings and the need for repairs is used by municipalities to develop neighborhood improvement programs.

Question E1 -- Who pays the rent or mortgage, taxes, electricity, etc., for this dwelling?
Mark the circle(s) to indicate the person(s) who pays the rent, mortgage, taxes, electricity, etc., for this dwelling.