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
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15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
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15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2016 ACS
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15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2015 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2014 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2013 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2012 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2011 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2010 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2009 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2008 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2007 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2006 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2005 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2004 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2003 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2002 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2001 ACS
Questionnaire form view entire document:  text  image

15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image

15a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12



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2000 5%
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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.

a. Electricity

Annual cost - Dollars
$[ ],[ ][ ][ ].00
OR
[] Included in rent or in condominium fee
[] No charge or electricity not used
b. Gas
Annual cost - Dollars
$[ ],[ ][ ][ ].00
OR
[] Included in rent or in condominium fee
[] No charge or gas not used
c. Water and sewer
Annual cost - Dollars
$[ ],[ ][ ][ ].00
OR
[] Included in rent or in condominium fee
[] No charge
d. Oil, coal, kerosene, wood, etc.
Annual cost - Dollars
$[ ],[ ][ ][ ].00
OR
[] Included in rent or in condominium fee
[] No charge or these fuels not used
46. Answer ONLY if you PAY RENT for this house, apartment, or mobile home - All others skip to 47a.
What is the monthly rent?
Monthly amount - Dollars
$[ ][ ],[ ][ ][ ].00

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1990 5%
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H7. Answer only if you PAY RENT for this house or apartment -
a. What is the monthly rent?
[] Less than $80
[] $80 to $99
[] $100 to $124
[] $125 to $149
[] $150 to $174
[] $175 to $199
[] $200 to $224
[] $225 to $249
[] $250 to $274
[] $275 to $299
[] $300 to $324
[] $325 to $349
[] $350 to $374
[] $375 to $399
[] $400 to $424
[] $425 to $449
[] $450 to $474
[] $475 to $499
[] $500 to $524
[] $525 to $549
[] $550 to $599
[] $600 to $649
[] $650 to $699
[] $700 to $749
[] $750 to $999
[] $1,000 or more

"Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by:
By the day..................................... 30
By the week....................................4
Every other week............................2

If rent is paid: Divide rent by:
4 times a year.................................3
2 times a year................................. 6
Once a year................................... 12
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."

a. Electricity $__________ .00
Yearly cost - Dollars
OR
[] Included in rent or in condominium fee
[] No charge or electricity not used
b. Gas $__________ .00
Yearly cost - Dollars
OR
[] Included in rent or in condominium fee
[] No charge or gas not used
c. Water $__________ .00
Yearly cost - Dollars
OR
[] Included in rent or in condominium fee
[] No charge
d. Oil, coal, kerosene, wood, etc. $__________ .00
Yearly cost - Dollars
OR
[] Included in rent or in condominium fee
[] No charge or these fuels not used

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1980 5%
Questionnaire form view entire document:  text  image


H12.
If you pay rent for your living quarters -
What is the monthly rent?
If rent is not paid by the month, see the instruction guide on how to figure a monthly rent.
[] Less than $50 [] $160 to $169
[] $50 to $59 [] $170 to $179
[] $60 to $69 [] $180 to $189
[] $70 to $79 [] $190 to $199
[] $80 to $89 [] $200 to $224
[] $90 to $99 [] $225 to $249
[] $100 to $109 [] $250 to $274
[] $110 to $119 [] $275 to $299
[] $120 to $129 [] $300 to $349
[] $130 to $139 [] $350 to $399
[] $140 to $149 [] $400 to $499
[] $150 to $159 [] $500 or more

"Report the rent agreed to or contracted for, even if the rent is unpaid or paid by someone else. If rent is not paid by the month, change the rent to a monthly amount; and then fill the appropriate circle in question H12.

"If rent is paid: Multiply rent by:

By the day 30
By the week 4
Every other week 2

"If rent is paid: Divide rent by:
4 times a year 3
2 times a year 6
Once a year 12

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."


a. Electricity

$ __________________.00 OR[] Included in rent or no charge
Average monthly cost[] Electricity not used

b. Gas
$ __________________.00 OR[] Included in rent or no charge
Average monthly cost[] Gas not used

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

d. Oil, coal, kerosene, wood, etc.
$ __________________.00 OR[] Included in rent or no charge
Yearly cost [] These fuels not used

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

[All]
H12. Answer this question if you pay rent for your living quarters.
"Report the rent agreed to or contracted for, even if the furnishings, utilities, or services are included."

a. If rent is paid by the month --
What is the monthly rent?
Write amount here $ ____________.00 (Nearest dollar)
and Fill one circle
[] Less than $30
[] $30 to $39
[] $40 to $49
[] $50 to $59
[] $60 to $69
[] $70 to $79
[] $80 to $89
[] $90 to $99
[] $100 to $119
[] $120 to $149
[] $150 to $199
[] $200 to $249
[] $250 to $299
[] $300 or more
"If you pay rent by the month, write in the amount of rent and fill one circle."
b. If rent is not paid by the month -
What is the rent, and what period of time does it cover?
$ ____________.00 per ______________________________
(Nearest dollar) (Week, half-month, year, etc.)

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

[All]
H12. Answer this question if you pay rent for your living quarters.
"Report the rent agreed to or contracted for, even if the furnishings, utilities, or services are included."

a. If rent is paid by the month --
What is the monthly rent?
Write amount here $ ____________.00 (Nearest dollar)
and Fill one circle
[] Less than $30
[] $30 to $39
[] $40 to $49
[] $50 to $59
[] $60 to $69
[] $70 to $79
[] $80 to $89
[] $90 to $99
[] $100 to $119
[] $120 to $149
[] $150 to $199
[] $200 to $249
[] $250 to $299
[] $300 or more
"If you pay rent by the month, write in the amount of rent and fill one circle."
b. If rent is not paid by the month -
What is the rent, and what period of time does it cover?
$ ____________.00 per ______________________________
(Nearest dollar) (Week, half-month, year, etc.)

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1960 5%

No questionnaire text is available for this sample.