1990 Census of Puerto Rico

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INDIVIDUAL CENSUS REPORT

The 1990 census must count every person at his or her "usual residence." This means the place where the person lives and sleeps most of the time.

Include

Do NOT include

1a. Please give me the name of each person living here on Sunday, April 1, including all persons staying here who have no other home. If EVERYONE is staying here temporarily and usually lives somewhere else, give me the name of each person. Begin with the household member in whose name this home is owned, being bought, or rented. If there is no such person, start with any adult household member.
Print last name, first name, and middle initial for each person.

  1. _____________________________________________.
  2. _____________________________________________.
  3. _____________________________________________.
  4. _____________________________________________.
  5. _____________________________________________.
  6. _____________________________________________.
  7. _____________________________________________.
  8. _____________________________________________.
  9. _____________________________________________.
  10. _____________________________________________.
  11. _____________________________________________.
  12. _____________________________________________.

1b. If EVERYONE is staying here only temporarily and usually lives somewhere else, mark (X) this box --> [ ] and ask - Where do these people usually live?
DO NOT PRINT THE ADDRESS LISTED IN ITEM G ON THE FRONT COVER.

____________________________________________________________________________
House number Street or road/Rural route and box number Apartment number
____________________________________________________________________________
City State or Puerto Rico ZIP Code
____________________________________________________________________________
County/Municipio/Foreign country Names of nearest intersecting streets or roads

2. How is ... related to (Person 1)?
Mark (X) ONE box for each person.

If Other relative of person in column 1, mark (X) the box and print exact relationship, such as mother-in-law, grandparent, son-in-law, niece, cousin, and so on.

START in this column with the household member (or one of the members) in whose name the home is owned, being bought, or rented. If there is no such persons, start in this column with any adult household member.

If a RELATIVE of Person 1:

1 [ ] Husband/wife
2 [ ] Natural-born or adopted son/daughter
3 [ ] Stepson/stepdaughter
4 [ ] Brother/sister
5 [ ] Father/mother
6 [ ] Grandchild
7 [ ] Other relative: _______________

If NOT RELATED to Person 1:

8 [ ] Roomer, boarder, or foster child
9 [ ] Housemate, roommate
10 [ ] Unmarried partner
11 [ ] Other nonrelative

3. Is ... male or female?
Mark (X) ONE for each person.

1 [ ] Male
2 [ ] Female

4. Age and year of birth

a. Age

     

b. Year of birth

1      

5. Marital status- Mark (X) ONE box.

1 [ ] Now married
2 [ ] Consensually married
3 [ ] Widowed
4 [ ] Divorced
5 [ ] Separated
6 [ ] Never married

6. Where was ... born? Mark (X) the appropriate box and print the name of municipio, State, or foreign country.

1 [ ] Puerto Rico --> print name of municipio ________________________
2 [ ] United States --> print name of U.S. State ________________________
3 [ ] Elsewhere --> print name of foreign country ________________________

If the answer to question 6 appears in one of the first two "Yes" categories listed below, mark (X) the appropriate "Yes" category. Otherwise, ask

7. Is ... a CITIZEN of the United States? That is, does ... have at least one American parent or is ... a citizen by naturalization?

1 [ ] Yes, born in Puerto Rico - Skip to 9
2 [ ] Yes, bom in the United States, Guam, the U.S. Virgin Islands, or Northern Marianas
3 [ ] Yes, born abroad of American parent or parents
4 [ ] Yes, U.S. citizen by naturalization
5 [ ] No, not a citizen of the United States

8. When did ... come to Puerto Rico to stay?
If entered country more than once, ask -- What is the latest year?

0 [ ] 1987 to 1990
1 [ ] 1985 or 1986
2 [ ] 1982 to 1984
3 [ ] 1980 or 1981
4 [ ] 1975 to 1979

5 [ ] 1970 to 1974
6 [ ] 1965 to 1969
7 [ ] 1960 to 1964
8 [ ] 1950 to 1959
9 [ ] Before 1950

9. At any time since February 1,1990, has ... attended regular school or college? Include only pre-kindergarten, kindergarten, elementary school, and schooling which leads to a high school diploma or a college degree.
If "Yes," ask -- Public or private?

1 [ ] No, have not attended since February 1
2 [ ] Yes, public school, public college
3 [ ] Yes, private school, private college

10. How much school have ... COMPLETED?
Read categories if person is unsure. Mark (X) ONE box for the highest level COMPLETED or degree RECEIVED. If currently enrolled, mark the previous grade attended or highest degree received.

30 [ ] No school completed
31 [ ] Pre-kindergarten
32 [ ] Kindergarten

Grades 1 - 11

1 [ ] 1st
2 [ ] 2nd
3 [ ] 3rd

4 [ ] 4th
5 [ ] 5th
6 [ ] 6th

7 [ ] 7th
8 [ ] 8th
9 [ ] 9th

10 [ ] 10th
11 [ ] 11th


12 [ ] 12th grade, NO DIPLOMA
13 [ ] HIGH SCHOOL GRADUATE - high school DIPLOMA or the equivalent (for example: GED)
14 [ ] Some college but no degree
15 [ ] Associate degree in college - Occupational program
16 [ ] Associate degree in college - Academic program
17 [ ] Bachelor's degree (for example: BA, AB, BS)
18 [ ] Master's degree (for example: MA, MS, MEng, MEd, MSW, MBA)
19 [ ] Professional school degree (for example: MD, DDS, DVM, LLB, JD)
20 [ ] Doctorate degree (for example: PhD, EdD)

11a. Where was ...'s father born?

1 [ ] Puerto Rico
2 [ ] United States
3 [ ] Elsewhere - Print name of foreign country: ________________________________

b. Where was ...'s mother born?

1 [ ] Puerto Rico
2 [ ] United States
3 [ ] Elsewhere - Print name of foreign country: ________________________________

12a. If person was born after April 1, 1985, mark (X) that box without asking 12a, and go to the next person.

Did you live at the address reported in question 2b 5 years ago (on April 1,1985)?

[ ] Yes - Skip to 13a
[ ] No

b. Where did ... live 5 years ago (on April 1,1985)?

(1) Print Puerto Rico or the name of the U.S. State or foreign country -->
_________________________________________
(If foreign country, print answer above and skip to 13a.)

(2) Print the name of the municipio in Puerto Rico or the name of the county in the U.S. -->
_________________________________________

(3) Print the name of the city, town, or village -->
_________________________________________

13a. During the last 10 years, did ... live in the United States at any time for a period of 6 or more consecutive months?

1 [ ] Yes
2 [ ] No - Skip to 14

b. How long did ... live in the United States during the last period of 6 or more months?

1 [ ] 6 months to a year
2 [ ] 1 to 2 years
3 [ ] 3 to 4 years
4 [ ] 5 years
5 [ ] 6 to 9years
6 [ ] 10 or more years

c. When did ... come or return to Puerto Rico after that period in the U.S.?

1 [ ] 1990
2 [ ] 1989
3 [ ] 1988

4 [ ] 1987
5 [ ] 1986
6 [ ] 1985

7 [ ] 1984
8 [ ] 1983
9 [ ] 1980 to 1982

d. During the last period ... lived in the United States for 6 or more months, what was ... main activity?

1 [ ] In the U.S. Armed Forces
2 [ ] Working at a job or business (either full or part-time)
3 [ ] Attending school or college
4 [ ] Something else

14. Does ... know how to read and write (in any language)?

1 [ ] Yes
2 [ ] No

15a. Can ... speak Spanish?

1 [ ] Yes
2 [ ] No

b. Can ... speak English? If "Yes," does ... speak English easily or with difficulty?

1 [ ] Yes, easily
2 [ ] Yes, with difficulty
3 [ ] No

17. If this person is a female, ask -
How many babies has ... ever had, not counting stillbirths? Do not count stepchildren or children ... has adopted.

0 [ ] None

1 [ ] 1
2 [ ] 2
3 [ ] 3

4 [ ] 4
5 [ ] 5
6 [ ] 6

7 [ ] 7
8 [ ] 8
9 [ ] 9

10 [ ] 10
11 [ ] 11
12 [ ] 12 or more

18a. Has ... ever been on active-duty military service in the Aarmed Forces of the United States or ever been in the United States military Reserves or the National Guard? "Active duty" does NOT include training for the military Reserves or National Guard.

1 [ ] Yes, now on active duty
2 [ ] Yes, on active duty in the past, but not now
3 [ ] Yes, service in Researves or National Guard only - Skip to 19
4 [ ] No - Skip to 19

b. Did ... serve on active duty during -
Read each category and mark (X) each box for which the answer is "Yes."

1 [ ] September 1980 or later
2 [ ] May 1975 to August 1980
3 [ ] Vietnam era (August 1964-April 1975)
4 [ ] February 1955-July 1964
5 [ ] Korean conflict (June 1950-January 1955)
6 [ ] World War II (September 1940-July 1947)
7 [ ] World War I (April 1917-November 1918)
8 [ ] Any other time

c. In total, how many years of active-duty military service have you had?

[] Years

19. Does ... have a physical, mental, or other heath condition that has lasted for 6 or more months and which -

a. Limits the kind or amount of work ... can do at a job?

1 [ ] Yes
2 [ ] No

b. Prevents ... from working at a job?

1 [ ] Yes
2 [ ] No

20. Because of a health condition that has lasted for 6 or more months, does ... have any difficulty -

a. Going outside the home alone, for example, to shop or visit a doctor's office.

1 [ ] Yes
2 [ ] No

b. Taking care of his or her own personal needs, such as bathing, dressing, or getting around inside the home?

1 [ ] Yes
2 [ ] No

21a. Has ... completed the requirements for a vocational training program at a trade school, business school, hospital or some other kind of school for occupational training? Do not include academic college courses.

1 [ ] Yes
2 [ ] No - Skip to 22b

b. At which kind of school was the training received?

1 [ ] Business school, trade school or junior college
2 [ ] High school vocational program
3 [ ] Training program at place of work
4 [ ] Other school - Specify --> ______________________

22a. Did ... work any time LAST WEEK, either full time or part time? Work includes part-time work such as delivering papers, or helping without pay in a family businesss or farm; it also includes active duty in the U.S. Armed Forces. Work does NOT include own housework, school work, or volunteer work.

1 [ ] Yes
2 [ ] No - Skip to 26

b. How many hours did ... work LAST WEEK (at all jobs)? Subtract any time off; add overtime or extra hours worked.

[] Hours

23a. Where did ... usually work LAST WEEK? If ... worked at more than one location, ask -
Where did ... work most last week?

1 [ ] In U.S. State or foreign country - Skip to 23d
2 [ ] In Puerto Rico - Continue with 23b

b. What is the name of the city, town, or village? ____________________________

c. What is the name of the municipio? ____________________________

d. What is the name of the U.S. State or foreign country? ____________________________

24a. What type of transportation did ... usually use to get to work LAST WEEK? If more than one method of transportation usually was used during the trip, mark (X) the box of the one used for most of the distance.

1 [ ] Car .truck, or van
2 [ ] Bus
3 [ ] Publico
4 [ ] Ferryboat
5 [ ] Taxicab
6 [ ] Motorcycle
7 [ ] Bicycle
8 [ ] Walked
9 [ ] Worked at home -- Skip to 29
10 [ ] Other method

b. Ask only if "car, truck, van" is marked in 24a.
How many people, including ... , usually rode to work together LAST WEEK?

1 [ ] Drove alone
2 [ ] 2 people
3 [ ] 3 people
4 [ ] 4 people
5 [ ] 5 people
6 [ ] 6 people
7 [ ] 7 to 9 people
8 [ ] 10 or more people

25a. What time did ... usually leave home to go to work LAST WEEK? "Usually" means on most days last week.

[] 1 [ ] a.m.
2 [ ] p.m.

b. How many minutes did it usually take ... to get from home to work LAST WEEK?

[] Minutes -- Skip to 29

26. Was ... on layoff from a job or business LAST WEEK?
If "No," ask - Was ... temporarily absent or on vacation from a job or business last week?

1 [ ] Yes, on layoff
2 [ ] Yes, on vacation, temporary illness, labor dispute, etc.
3 [ ] No

27a. Has ... been looking for work during the last 4 weeks?

1 [ ] Yes
2 [ ] No - Skip to 28

b. Could ... have taken a job LAST WEEK if one had been offered?
If "No," ask - For what reason?

1 [ ] No, already has a job
2 [ ] No, temporarily ill
3 [ ] No, other reasons (in school, etc.)
4 [ ] Yes, could have taken a job

28. When did ... last work, even for a few days?

1 [ ] 1990 - Go to 29
2 [ ] 1989 - Go to 29
3 [ ] 1988 - Go to 29
4 [ ] 1985 to 1987 - Go to 29
5 [ ] 1980 to 1984 - Skip to 33
6 [ ] 1979 or earlier - Skip to 33
7 [ ] Never worked - Skip to 33

29-31. The following questions ask about the job worked last week. If ... had more than one job, describe the one ... worked the most hours. If ... didn't work, the questions refer to the most recent job or business since 1985.

29. For whom did ... work?
If now on active duty in the U.S. Armed Forces, mark (X) this box ----> 1 [ ] and print the branch of the Armed Forces. If not Armed Forces, print the name of the company, business or other employer. ---->

__________________________________

b. What kind of business or industry was this? Describe the activity at location where employed. --->

__________________________________
For example: hospital, newspaper publishing, mail order house, retail bakery

c. Is this mainly manufacturing, wholesale trade, retail trade, or something else?

1 [ ] Manufacturing
2 [ ] Wholesale trade
3 [ ] Retail trade
4 [ ] Other (agriculture, construction, service, government, etc.)

30. What kind of work was ... doing?

__________________________________
For example: registered nurse, personnel manager, supervisor of order department, cake icer.

b. What were ...'s most important activities or duties?

__________________________________
For example: patient care, directing hiring policies, supervising order clerk, icing cakes

d. What is your paygrade? Enter two-character code. (For example: E-4, 0-3)

[] Paygrade

31. Was ... - Read list. Mark (X) ONE box.

1 [ ] Employee of a PRIVATE FOR PROFIT company or businesss or of an individual, for wages, salary, or commissions
2 [ ] Employee of a PRIVATE NOT-FOR-PROFIT, tax-exempts, or charitable organization
3 [ ] Municipal GOVERNMENT employee (city, municipio, etc.)
4 [ ] Commonwealth GOVERNMENT employee
5 [ ] Federal GOVERNMENT employee
6 [ ] SELF-EMPLOYED in own NOT INCORPORATED business, professional practice, or farm
7 [ ] SELF-EMPLOYED in own INCORPORATED business, professional practice, or farm
8 [ ] Working WITHOUT PAY in family business or farm

32a. Last year (1989), did ... work, even for a few days, at a paid job, business, farm or on active-duty military service?

1 [ ] Yes
2 [ ] No -- Skip to 33

b. How many weeks did ... work in 1989? Count paid vacation, paid sick leave, and military service.

[] Weeks

c. During the weeks WORKED in 1989, how many hours did ... usually work each week?

[] Hours

33. The following questions are about income received during 1989? If an exact amount is not known, accept a best estimate. If net income in b, c, d or question 34 was a loss, write "Loss" above the dollar amount.

a. Did ... earn income from wages, salary, commissions, bonuses, or tips? Report amount before deductions for taxes, bonds, dues, or other items.

1 [ ] Yes - How much from all jobs? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

b. Did ... earn any income from (his/her) own nonfarm business, proprietorship, or partnership? report net income after business expenses.

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

c. Did ... earn any income from (his/her) own farm business? Include earnings as a tenant farmer or sharecropper. Report net income after operating expenses.

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

d. Did ... receive any interest, dividends, net rental or royalty income, or income from estates and trusts? Include payments as a retired worker, dependent, or disabled worker.

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

e. Did ... recieve any Social Security or Reailroad Retirement payments? Include payments as a retired worker, dependent, or diabled worker.

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

f. Did ... receive any income from government programs for Supplemental Security Income (SSI), Aid to Families with Dependent Children (AFDC), food stamps, or other public assistance or public welfare payments?

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

g. Did ... receive any income from retirement, survivor, or disability pensions? Include payments from companies, unions, Federal, State, and local governments, and the U.S. military. Do NOT include Social Security.

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

h. Did ... receive any income from Veteran's (VA) payments, unemployment compensation, child support, or alimony, or any other regular source of income? Do NOT include lump-sum payments such as money from an inheritance or the sale of a home.

1 [ ] Yes - How much? ---> [$..00] (Annual amount - Dollars)
2 [ ] No

34. Do not ask this question if 33a through 33h are complete. Instead, sum these entries and enter the amount below.

What was ...'s total income in 1989?

[ ] None OR
[$.00] (Annual amount - Dollars)

QUESTIONS FOR THIS HOUSEHOLD

H1a. When you told me the names of persons living here on April 1, did you leave anyone out because you were not sure if the person should be listed - for example, someone temporarily away on a business trip or vacation, a newborn baby stil in the hospital, or a person who stays here once in a while and has no other home?

1 [ ] Yes --- Determine if you should add the person(s) based on the instructions for Question 1a.
2 [ ] No

b. When you told me the names of persons living here on April 1, did you include anyone even though you were not sure that the person should be listed - for example, a visitor who is staying here temporarily or a person who usually lives somewhere else?

1 [ ] Yes --- Determine if you should delete the person(s) based on the instructions for Question 1a.
2 [ ] No

H2. Which best describes this building? Include all apartments, flats, etc., even if vacant.

1 [ ] A mobile home or trailer
2 [ ] A one-family house detached from any other house
3 [ ] A one-family house attached to one or more houses
4 [ ] A building with 2 apartments
5 [ ] A building with 3 or 4 apartments
6 [ ] A building with 5 to 9 apartments
7 [ ] A building with 10 to 19 apartments
8 [ ] A building with 20 to 49 apartments
9 [ ] A building with 50 or more apartments
10 [ ] Other

H3. How many rooms do you have in this (house/apartment)? Count living rooms, dining rooms, kitchens, and bedrooms, but do NOT count bathrooms, balconies, foyers, or halls.

1 [ ] 1 room
2 [ ] 2 rooms
3 [ ] 3 rooms
4 [ ] 4 rooms
5 [ ] 5 rooms

6 [ ] 6 rooms
7 [ ] 7 rooms
8 [ ] 8 rooms
9 [ ] 9 or more rooms

H4a. Is there hot and cold piped water in this (house/apartment)?

1 [ ] Yes, hot and cold piped water
2 [ ] No, only cold piped water
3 [ ] No piped water -- Skip to H4d

b. Is there a bathtub or shower in this (house/apartment)?

1 [ ] Yes
2 [ ] No bathtub or shower

c. Is there a flush toilet in this (house/apartment)?

1 [ ] Yes -- Skip to H5
2 [ ] No -- Go to H4d

d. What type of toilet facilities do you have?

1 [ ] Privy
2 [ ] Other or none

H5. Is this (house/apartment) part of a condominium? A CONDOMINIUM is a building or development with individually owned apartments or houses, having commonly owned areas and grounds.

1 [ ] Yes
2 [ ] No

H6. Is this (house/apartment) --

1 [ ] Owned by you or someone in this household with a mortgage or loan?
2 [ ] Owned by you or someone in this household free and clear (without a mortgage)?
3 [ ] Rented for cash rent?
4 [ ] Occupied without payment of cash rent?

Ask only if this is a ONE-FAMILY HOUSE --

H7a. Is this house on a property of 3 or more cuerdas?

1 [ ] Yes
2 [ ] No

b. Is any part of the property used as:

Yes - No
(1) A commercial establishment? 1 [ ] 2 [ ]
(2) A medical office? 1 [ ] 2 [ ]
(3) Other professional office? 1 [ ] 2 [ ]

Ask only if someone in this household OWNS OR IS BUYING this house or apartment --

H8. What is the value of this property; that is, how much do you think this (house and lot/condominium unit) would sell for if it were for sale?

1 [ ] Less than $10,000
2 [ ] $10,000 to $14,999
3 [ ] $15,000 to $19,999
4 [ ] $20,000 to $24,999
5 [ ] $25,000 to $29,999
6 [ ] $30,000 to $34,999
7 [ ] $35,000 to $39,999
8 [ ] $40,000 to $44,999
9 [ ] $45,000 to $49,999
10 [ ] $50,000 to $54,999
11 [ ] $55,000 to $59,999
12 [ ] $60,000 to $64,999
13 [ ] $65,000 to $69,999

14 [ ] $70,000 to $74,999
15 [ ] $75,000 to $79,999
16 [ ] $80,000 to $89,999
17 [ ] $90,000 to $99,999
18 [ ] $100,000 to $124,999
19 [ ] $125,000 to $149,999
20 [ ] $150,000 to $174,999
21 [ ] $175,000 to $199,999
22 [ ] $200,000 to $249,999
23 [ ] $250,000 to $299,999
24 [ ] $300,000 to $399,999
25 [ ] $400,000 to $499,999
26 [ ] $500,000 or more

Ask only if RENT IS PAID for this house or apartment --

H9. What is the monthly rent? If rent is NOT PAID BY THE MONTH, see your job instructions on how to figure a monthly rent.

1 [ ] Less than $60
2 [ ] $60 to $79
3 [ ] $80 to $99
4 [ ] $100 to $124
5 [ ] $125 to $149
6 [ ] $150 to $174
7 [ ] $175 to $199
8 [ ] $200 to $224
9 [ ] $225 to $249
10 [ ] $250 to $274
11 [ ] $275 to $299
12 [ ] $300 to $324
13 [ ] $325 to $349

14 [ ] $350 to $374
15 [ ] $375 to $399
16 [ ] $400 to $424
17 [ ] $425 to $449
18 [ ] $450 to $474
19 [ ] $475 to $499
20 [ ] $500 to $549
21 [ ] $550 to $599
22 [ ] $600 to $649
23 [ ] $650 to $699
24 [ ] $700 to $749
25 [ ] $750 to $999
26 [ ] $1,000 or more

H10a. Is this house on --

1 [ ] Less than 3 cuerdas
2 [ ] 3 to 9 cuerdas
3 [ ] 10 or more cuerdas

b. In 1989, what were the actual sales of all agricultural products from this property?

1 [ ] None
2 [ ] $1 to $99
3 [ ] $100 to $499
4 [ ] $500 to $999
5 [ ] $1,000 to $2,499
6 [ ] $2,500 or more

H11. When did (Person listed in column 1 on page 2) move into this (house/apartment)?

1 [ ] 1989 to 1990
2 [ ] 1985 to 1988
3 [ ] 1980 to 1984
4 [ ] 1970 to 1979
5 [ ] 1960 to 1969
6 [ ] 1959 or earlier

H12. About when was this building first built?

1 [ ] 1989 or 1990
2 [ ] 1985 to 1988
3 [ ] 1980 to 1984
4 [ ] 1970 to 1979
5 [ ] 1960 to 1969
6 [ ] 1950 to 1959
7 [ ] 1940 to 1949
8 [ ] 1939 or earlier
9 [ ] Don't know

H13. Which best describes the construction material of this building?
Read categories and mark (X) only ONE box.

Concrete walls (poured concrete, concrete blocks, stone, etc.)

1 [ ] With concrete slab roof
2 [ ] With wood frame roof

Wood frame walls

3 [ ] With concrete foundation, poured concrete, etc.
4 [ ] With wood stilt foundation 5 [ ] Mixed concrete and wood walls
6 [ ] Other type of construction material

H14. Do you get water from --

1 [ ] a public system?
2 [ ] An individual well?
3 [ ] A cistern, tanks, or drums?
4 [ ] A spring or some other source, such as a river, irrigation canal, etc.?

H15. Is this building connected to a public sewer?

1 [ ] Yes
2 [ ] No, connected to septic tank or cesspool
3 [ ] No use other means

H16. How many bedrooms do you have; that is, how many bedrooms would you list if this (house/apartment) were on the market for sale or rent?

1 [ ] No bedroom
2 [ ] 1 bedroom
3 [ ] 2 bedrooms
4 [ ] 3 bedrooms
5 [ ] 4 bedrooms
6 [ ] 5 or more bedrooms

H17. How many bathrooms do you have? A COMPLETE bathroom is a room with flush toilet, bathtub or shower, and wash basin with piped water. A HALF bathroom has a flush toilet AND a wash basin with piped water.

1 [ ] None
2 [ ] Only half bathrooms
3 [ ] 1 complete bathroom
4 [ ] 1 complete bathroom, plus half bath(s)
5 [ ] 2 or more complete bathrooms

H18. What type of water heater do you have in this (house/apartment)?

1 [ ] Electric
2 [ ] Shower
3 [ ] Solar
4 [ ] Other
5 [ ] None

H19. Which fuel is used MOST for cooking?

1 [ ] Electricity
2 [ ] Gas
3 [ ] Other

H20. Do you have COMPLETE kitchen facilities; that is, a sink with piped water, a range or cookstove, and a refrigerator?

1 [ ] Yes
2 [ ] No

H21. Do you have air conditioning?

1 [ ] Yes, a central air conditioning system
2 [ ] Yes, 1 individual room unit
3 [ ] Yes, 2 or more individual room units
4 [ ] No

H22. Do you have a telephone in this (house/apartment)?

1 [ ] Yes
2 [ ] No

H23. How many vans or trucks are kept at home for use by members of your household?

1 [ ] None
2 [ ] 1
3 [ ] 2
4 [ ] 3 5 [ ] 4 or more

H24. What is the average monthly cost for electricity for this (house/apartment)?

$__________ .00 Average monthly cost

OR

1 [ ] Included in rent or in condominium fee
2 [ ] No charge or electricity not used

b. What is the average monthly cost for gas for this (house/apartment)?

$__________ .00 Average monthly cost

OR

1 [ ] Included in rent or in condominium fee
2 [ ] No charge or gas not used

c. What is the average monthly cost for water for this (house/apartment)?

$__________ .00 Average monthly cost

OR

1 [ ] Included in rent or in condominium fee
2 [ ] No charge or water not used

d. What is the average monthly cost for oil, charcoal, kerosene, wood, etc. for this (house/apartment)?

$__________ .00 Average monthly cost

OR

1 [ ] Included in rent or in condominium fee
2 [ ] No charge or these fuels not used

INTERVIEWER INSTRUCTION: Ask questions H25 TO H29, if this is a one-family house, a condominium, or a mobile home that someone in this household OWNS OR IS BUYING; otherwise, go to H30.

H25. What were the real estate taxes on THIS property last year?

$__________ .00 Yearly amount - Dollars

OR

0 [ ] None

H26. What were the annual payment for fire, hazard, and flood insurance on THIS property?

$__________ .00 Yearly amount - Dollars

OR

0 [ ] None

H27a. Is there a mortgage, deed of trust, contract to purchase, or similar debt on THIS property?

1 [ ] Yes, mortgage, deed of trust, or similar debt - Go to H27b
2 [ ] Yes, contract to purchase - Go to H27b
3 [ ] No - Skip to H28a

b. How much is your regular monthly mortgage payment on THIS property? Include payment only on first mortgage or contract to purchase.

$__________ .00 Yearly amount - Dollars

OR

0 [ ] No regular payment required - Skip to H28a

c. Does your regular monthly mortgage payment include payments for real estate taxes on THIS property?

1 [ ] Yes, taxes included in payment
2 [ ] No, taxes paid separately or taxes not required

d. Does your regular monthly mortgage payment include payments for fire, hazard, or flood insurance on THIS property?

1 [ ] Yes, insurance included in payment
2 [ ] No, insurance paid separately or no insurance

H28. Is there a second or junior mortgage or a home equity loan on THIS property?

1 [ ] Yes
2 [ ] No - Skip to H29

b. How much is the regular monthly payment on all second or junior mortgages and all home equity loans?

$__________ .00 Monthly amount - Dollars

OR

0 [ ] No regular payment required

Ask ONLY if this is a CONDOMINIUM --
H29. What is the monthly condominium fee?

$__________ .00 Monthly amount - Dollars

H30. MARK FROM OBSERVATION
CONDITION OF THIS HOUSING UNIT --
a. Original construction

1 [ ] Adequate
2 [ ] Inadequate

b. IF "ADEQUATE" - present condition is -

1 [ ] Sound
2 [ ] Deteriorating
3 [ ] Dilapidated

FOR ENUMERATOR USE
C1. Vacancy Status

1 [ ] For rent
2 [ ] For sale only
3 [ ] Rented or sold, not occupied
4 [ ] For seas/rec/occ
5 [ ] For migrant workers
6 [ ] Other vacant

C2. Is this unit boarded up?

1 [ ] Yes
2 [ ] No

D. Months vacant

1 [ ] Less than 1
2 [ ] 1 up to 2
3 [ ] 2 up to 6
4 [ ] 6 up to 12
5 [ ] 12 up to 24
6 [ ] 24 or more

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