Age, sex of householder, who is the first household member listed as the
respondent (who is 18 years old or over)
Number of married and single members of household, by age
Number of members of household other than spouse or children under 18,
such as other relatives, lodgers, co owners or co renters
Race of householder
Educational attainment of householder
Income group, poverty level
!
Housing Unit Characteristics
The year housing structure was built
Number of units in structure, number of rooms
Cooperatives and condominiums
Occupied or vacant units
Year round or seasonal units
Mobile home
Value and purchase price of owner occupied unit
Unit for sale or for rent
Newly constructed (within past four years)
Major additions, alterations, or repairs made to the property
Kitchen facilities
Type of heating fuel used
Means of sewage disposal
Heating and air conditioning equipment
Primary source of water
Number of bathrooms
Square feet per person
Severe or moderate physical problems, such as water leakage, exposed
wiring, vandalization
!
Mobility History
Year householder moved into present unit
Number of respondents moved during past year
Reasons for moving from previous home
Reasons for choice of current residence, neighborhood
!
Housing Costs
Monthly mortgage payments
Monthly rent payments, noting if rent control or rent subsidies are applied
Utility costs (including electricity, piped gas, fuel oil, and water)
Property insurance costs
IV 3
<
New Page 1
Website Hosting Provider