Questionnaire Text

Questionnaire form view entire document: text image

Housing

Please answer the following questions about the house, apartment, or mobile home at the address on the mailing label.

A. Answer questions 4-5 if this is a house or a mobile home; otherwise, skip to question 6a.

6b. How many of these rooms are bedrooms?

Count as bedrooms those rooms you would list if this house, apartment, or mobile home were for sale or rent. If this is an efficiency/studio apartment, print "0".

Number of bedrooms _ _

Questionnaire instructions view entire document: text image

Housing questions 4-17

H6.a. Rooms must be separated by built-in archways or walls that extend out at least 6 inches and go from floor to ceiling. Include bedrooms, kitchens, etc. Exclude bathrooms, porches, balconies, foyers, halls, or unfinished basements.