Questionnaire Text

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14. a) Last month, what was the cost of electricity for this house, apartment, or mobile home?

Last month's cost: $____.00
or
[] Included in rent or condominium fee
[] No charge or electricity not used

b) Last month, what was the cost of gas for this house, apartment or mobile home?

Last month's cost: $____.00
or
[] Included in rent or condominium fee
[] Included in electricity payment entered above
[] No charge or gas not used

c) In the past 12 months, what was the cost of water and sewer for this house, apartment, or mobile home? If you have listed here less than 12 months, estimate the cost.

Past 12 months' cost: $____.00
or
[] Included in rent or condominium fee
[] No charge

d) In the past 12 months, what was the cost of oil, coal, kerosene, wood, etc., for this house, apartment, or mobile home?

If you have lived here less than 12 months, estimate the cost

Past 12 month's cost: $____.00
or
[] Included in rent or condominium fee
[] No charge or these fuels not used