Questionnaire Text

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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