Questionnaire Text

Questionnaire form view entire document:  text  image
8. The condition of?

The roof is??
[] 1 Bad
[] 2 Fair
[] 3 Good
Questionnaire instructions view entire document:  text  image
Question 8: Condition of the exterior walls, the roof, and the floor

8. The condition of...?

The exterior walls are...?
[] 1 bad
[] 2 fair
[] 3 good
The roof is...?
[] 1 bad
[] 2 fair
[] 3 good
The floor is...?
[] 1 bad
[] 2 fair
[] 3 good

For each case you must ask the question and note what the informant considers pertinent.

Bad: if the material exhibits much structural deterioration that requires a partial or total replacement of the affected areas: sunken or rotten bases, cracks, holes, etc. Such anomalies constitute an imminent danger for the habitants of the dwelling since it is left to the mercy of the rain, wind, earthquakes, or other perchance possibilities that compromise the well-being. If the dwelling has "dirt floor" mark this option.

Fair: if the material exhibits some structural defect or deterioration that requires repair: damaged boards, missing bricks, small cracks, etc. These damages, however, do not constitute an imminent danger for the residents of the dwelling.

Good: the parts do not present any deterioration or structural problems.