Questionnaire Text

2017 ACS 2011 ACS 2005 ACS 1990 5%
2016 ACS 2010 ACS 2004 ACS 1980 5%
2015 ACS 2009 ACS 2003 ACS 1970 Form 2 Metro
2014 ACS 2008 ACS 2002 ACS 1970 Form 1 Metro
2013 ACS 2007 ACS 2001 ACS 1960 5%
2012 ACS 2006 ACS 2000 5%
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2017 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2016 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2015 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2014 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2013 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2012 ACS
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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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2011 ACS
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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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2010 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2009 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2008 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge
Questionnaire instructions view entire document:  text  image

11a-11d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 11a and 11b, report LAST MONTH'S COSTS. For items 11c and 11d, report total costs for the PAST 12 MONTHS.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the PAST 12 MONTHS in 11c and 11d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 11a and mark the "Included in electricity payment entered above" box in item 11b.


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2007 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2006 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2005 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2004 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2003 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2002 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2001 ACS
Questionnaire form view entire document:  text  image

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 - Dollars

$________________.00
OR
[ ] Included in rent or condominium fee
[ ] No charge

Questionnaire instructions view entire document:  text  image

14a-14d.
If your house, apartment, or mobile home is rented, enter the costs for utilities and fuels only if you pay for them in addition to the monthly rent.

If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee.

If your fuel and utility costs are included in your rent or condominium fee, mark the "Included in rent or in condominium fee" box. DO NOT enter any dollar amounts.

For items 14a and 14b, report last month's costs. For items 14c and 14d, report total costs for the past 12 months.

Estimate as closely as possible if you do not know exact costs. If you have lived in this house, apartment, or mobile home less than one year, estimate the costs for the past 12 months in 14c and14d.

Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your house or apartment only. If gas and electricity are billed together, enter the combined amount in 14a and mark the "Included in electricity payment entered above" box in item14b.


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2000 5%
Questionnaire form view entire document:  text  image

45. What are the annual costs of utilities and fuels for this house, apartment, or mobile home? If you have lived here less than 1 year, estimate the annual cost.

c. Water and sewer

Annual cost - Dollars
$[ ],[ ][ ][ ].00
OR
[] Included in rent or in condominium fee
[] No charge

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1990 5%
Questionnaire form view entire document:  text  image

H20. What are the yearly costs of utilities and fuels for this house or apartment?

If you have lived here less than 1 year, estimate the yearly cost. "If your house or apartment is rented, enter the costs for utilities and fuels only if you pay for them in addition to the rent entered in H7a. If you live in a condominium, enter the costs for utilities and fuels only if you pay for them in addition to your condominium fee. If your fuel and utility costs are already included in your rent or condominium fee, fill the Included in rent or in condominium fee circle. Do not enter any dollar amounts. The amounts to be reported should be the total amount for the past 12 months. Estimate as closely as possible when exact costs are not know. If you have lived in this house or apartment less than 1 year, estimate the yearly cost. Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your own house or apartment. If gas and electricity are billed together, enter the combined amount on the electricity line and bracket [ ] the two utilities."

c. Water $__________ .00
Yearly cost - Dollars
OR
[] Included in rent or in condominium fee
[] No charge

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1980 5%
Questionnaire form view entire document:  text  image


H22. What are the costs of utilities and fuels for your living quarters?

"If your living quarters are rented, enter the costs for utilities and fuels only if you pay for them in addition to the rent entered in H12. If already included in rent, fill the appropriate circle. The amounts to be reported should be for the past 12 months, that is, for electricity and gas, the monthly averagefor the past 12 months; for water and other fuels, the totalamount for the past 12 months. Estimate as closely as possible when exact costs are not known. Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your own living quarters. If gas and electricity are billed together, enter the combined amount on the electricity line and bracket ( { ) the two utilities."


c. Water

$ __________________.00 OR[] Included in rent or no charge
Yearly cost

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1970 Form 2 Metro
Questionnaire form view entire document:  text  image

[All]
H13. Answer question H13 if you pay rent for your living quarters.

In addition to the rent entered in H12, do you also pay for -

"If exact costs are not known, estimate as closely as possible. Report amounts even if bills are unpaid or are paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your own living quarters. If gas and electricity are billed together, enter the combined amount on the electricity line and bracket ({) the two utilities."
c. Water?
[] Yes, yearly cost is $____________.00
[] No, included in rent or no charge (Yearly cost)

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1970 Form 1 Metro
Questionnaire form view entire document:  text  image

[All]
H13. Answer question H13 if you pay rent for your living quarters.

In addition to the rent entered in H12, do you also pay for -

"If exact costs are not known, estimate as closely as possible. Report amounts even if bills are unpaid or are paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your own living quarters. If gas and electricity are billed together, enter the combined amount on the electricity line and bracket ({) the two utilities."
c. Water?
[] Yes, yearly cost is $____________.00
[] No, included in rent or no charge (Yearly cost)

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1960 5%

No questionnaire text is available for this sample.