Thank you for taking time to complete and return this census questionnaire. Its important to you, your community, and the Nation.

The law requires answers but guarantees privacy.
By law (Title 13, U.S. Code), you're required to answer the census questions to the best of your knowledge. However, the same law guarantees that your census form remains confidential. For 72 years - or until the year 2062 - only Census Bureau employees can see your form. No one else - no other government body, no police department, no court system or welfare agency - is permitted to see this confidential information under any circumstances.

How to get started - and get help.
Start by listing on the next page the names of all the people who live in your home. Please answer all questions with a black lead pencil. You'll find detailed instructions for answering the census in the enclosed guide. If you need additional help, call the toll-free telephone number to the left, near your address.

Please answer and return your form promptly.
Complete your form and return it by April 1, 1990 in the postage-paid envelope provided. Avoid the inconvenience of having a census taker visit your home.

Again, thank you for answering the 1990 Census.
Remember: Return the completed form by April 1, 1990.

Para personas de habla hispana -
(For Spanish-speaking persons)
Si usted desea un cuestionario del censo en español, llame sin cargo alguno al siguiente número: 1-800-CUENTAN.

How to Fill Out Your Census Form

Please us a black lead pencil only. Black lead pencil is better to use than ballpoint or other pens. Most questions ask you to fill in the circle, or to print the information. See Example below [omitted].

Make sure you print answers for everyone in this household. If someone in the household, such as a roomer or boarder, does not want to give you all the information for the form, print at least the person's name and answer question 2 and 3. A census taker will call to get the other information directly from the person.

There may be a question you cannot answer exactly. For example, you might not know the age of an elderly person or the price for which your house would sell. Ask someone else in your household; if no one knows, give your best estimate.

Instructions for individual questions begin on page 3 of this guide [this refers to the separate instruction section preceeding the questionnaire]. They will help you to understand the questions and answer them correctly.

If you have a question about filling out the census form or need assistance, call the local U.S. census office. The telephone number is given on the cover of the questionnaire [omitted].

If you do not mail back your census form, a census taker will be sent out to assist you. But it saves time and your taxpayer dollars if you fill out the form yourself and mail it back.

Your Answers Are Confidential

The law authorizing the census (Title 13, U.S. Code) also provides that your answers are confidential. No one except census workers may see your completed form and they can be fined and/or imprisoned for any disclosure of your answers. Only after 72 years can your individual census form become available to other government agencies (whether federal, state, county, or local). Until then, no other person or business can see your individual report.

The same law that protects the confidentiality of your answers requires that you provide the information asked in this census to the best of your knowledge.

Information collected from the decennial census is used for a variety of statistical purposes. Census information is used to find out where funding is most needed for schools, health centers, highways, and other services. Census results are used by members of public and private groups-including community organizations-and by businesses and industries, as well as by agencies at all levels of government.
1990 Population questions

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.

1a. List on the numbered lines below the name of each person living here on Sunday, April 1, including all persons staying here who have no other home. If EVERYONE at this address is staying here temporarily and usually lives somewhere else, follow the instructions given in question 1b below.

Include
Everyone who usually lives here such as family members, housemates and roommates, foster children, roomers, boarders, and live-in employees
Persons who are temporarily away on a business trip, on vacation, or in a general hospital
College students who stay here while attending college
Persons in the Armed Forces who live here
Newborn babies still in the hospital
Children in boarding schools below the college level
Persons who stay here most of the week while working even if they have a home somewhere else
Persons with no other home who are staying here on April 1

Do NOT include
Persons who usually live somewhere else
Persons who are away in an institution such as a prison, mental hospital, or a nursing home
College students who live somewhere else while attending college
Persons in the Armed Forces who live somewhere else
Persons who stay somewhere else most of the week while working

Print last name, first name, and middle initial for each person. Begin on line 1 with the household member (or one of the household members) in whose name this house or apartment is owned, being bought, or rented [the head of household]. If there is no such person, start on line 1 with any adult household member.

LAST FIRST INITIAL

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


"List everyone who lives at this address in question 1a. If you are not sure if you should list a person, see the rules on page 1 of the census form. If you are still not sure, answer as best you can and fill in "Yes" for question H1a or H1b, as appropriate. If there are more than seven people in your household, please list all the persons in question 1a, complete the form for seven people, and mail it back in the enclosed envelope. A census taker will call to obtain the information for the additional persons."

1b. If EVERYONE is staying here only temporarily and usually lives somewhere else, list the name of each person on the numbered lines above, fill this circle ® O and print their usual address below. DO NOT PRINT

THE ADDRESS LISTED ON THE FRONT COVER.

_____________________________ House number Street or road/Rural route and box number Apartment number City State ZIP Code _____________________________ Country or foreign country

Names of nearest intersecting streets or roads

"If everyone listed in questions 1a usually lives at another address(es), print the address(es) in 1b."

[The form provides a column for each person within the household to answer each of the following person questions.]

2. How is this person related to PERSON 1 [the head of household]?
Fill ONE circle for each person. If Other relative of person in column 1, fill circle and print exact relationship, such as mother-in-law, grandparent, son-in-law, niece, cousin, and so on.
[Person 1 was not to answer this question.]

If a RELATIVE of Person 1:
O Husband/wife
O Natural-born or adopted son/daughter
O Stepson/stepdaughter
O Brother/sister
O Father/mother
O Grandchild
O Other relative:
____________________
If NOT RELATED to Person 1:
O Roomer, boarder, or foster child
O Housemate, roommate
O Unmarried partner
O Other nonrelative
"Fill one circle to show how each person is related to the person in column 1. If Other relative of the person in column 1, print the exact relationship such as son-in-law, daughter-in-law, grandparent, nephew, niece, mother-in-law, father-in-law, cousin, and so on. If the Stepson/stepdaughter of the person in column 1 also has been legally adopted by the person in column 1, mark Stepson/stepdaughter but do not mark Natural-born or adopted son/daughter. In other words, Stepson/stepdaughter takes precedence over Adopted son/daughter."

3. Sex
Fill ONE circle for each person.
O Male
O Female
4. Race

Fill ONE circle for the race that the person considers himself/herself to be.

If Indian (Amer.), print the name of the enrolled or principal tribe.

If Other Asian or Pacific Islander (API), print one group, for example:

Hmong, Fijian, Laotian, Thai, Tongan, Pakistani, Cambodian, and so on.

If Other race, print race.

O White

O Black or Negro

O Indian (Amer.) (Print the name of the enrolled or principal tribe.)

____________________

O Eskimo

O Aleut

Asian or Pacific Islander (API)

O Chinese O Japanese

O Filipino O Asian Indian

O Hawaiian O Samoan

O Korean O Guamanian

O Vietnamese O Other API ¯

____________________

O Other race (Print race)

"Fill ONE circle for the race each person considers himself/herself to be. If you fill the Indian (Amer.) circle, print the name of the tribe or tribes in which the person is enrolled. If the person is not enrolled in a tribe, print the name of the principal tribe(s). If you fill the Other API circle [under Asian or Pacific Islander (API)], only print the name of the group to which the person belongs. For example, the Other API category includes persons who identify as Burmese, Fijian, Hmong, Indonesian, Laotian, Bangladeshi, Pakistani, Tongan, Thai, Cambodian, Sri Lankan, and so on. If you fill the Other race circle, be sure to print the name of the race. If the person considers himself/herself to be White, Black or Negro, Eskimo or Aleut, fill one circle only. Please do not print the race in the boxes. The Black or Negro category also includes persons who identify as African-American, Afro-American, Haitian, Jamaican, West Indian, Nigerian, and so on. All persons, regardless of citizenship status, should answer this question."
5. Age and year of birth

a. Print each person's age at last birthday. Fill in the matching circle below each box.

b. Print each person's year of birth and fill the matching circle below each box.

a. Age b. Year of birth

____ ____ ____ 1 ____ ____ ____

0 O 0 O 0 O 1 l 8 O 0 O 0 O

1 O 1 O 1 O 9 O 1 O 1 O

2 O 2 O 2 O 2 O

3 O 3 O 3 O 3 O

4 O 4 O 4 O 4 O

5 O 5 O 5 O 5 O

6 O 6 O 6 O 6 O

7 O 7 O 7 O 7 O

8 O 8 O 8 O 8 O

9 O 9 O 9 O 9 O

"Print age at last birthday in the space provided (print "00" for babies less than 1 year old). Fill in the matching circle below each box. For an illustration of how to complete question 5, see the Example on page 2 of this guide [omitted]."


6. Marital status

Fill ONE circle for each person.

O Now married O Separated

O Widowed O Never married

O Divorced

"If the persons only marriage was annulled, mark Never married."
7. Is this person of Spanish/Hispanic origin?

Fill ONE circle for each person.

If Yes, other Spanish/Hispanic, print one group.

O No (not Spanish/Hispanic)

O Yes, Mexican, Mexican-Am., Chicano

O Yes, Puerto Rican

O Yes, Cuban

O Yes, other Spanish/Hispanic

(Print one group, for example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard,

and so on.)

"A person is of Spanish/Hispanic origin if the persons origin (ancestry) is Mexican, Mexican-Am., Chicano, Puerto Rican, Cuban, Argentinean, Colombian, Costa Rican, Dominican, Ecuadoran, Guatemalan, Honduran, Nicaraguan, Peruvian, Salvadoran, from other Spanish-speaking countries of the Caribbean or Central or South America, or from Spain. If you fill the Yes, other Spanish/Hispanic circle, print one group. A person who is not of Spanish/Hispanic origin should answer this question by filling the No (not Spanish/Hispanic) circle. Note that the term "Mexican-Am." refers only to persons of Mexican origin or ancestry. All persons, regardless of citizenship status, should answer this question."
8. In what U.S. State or foreign country was this person born?

(Name of State or foreign country; or Puerto Rico, Guam, etc.)

"For persons born in the United States:

Print the name of the State in which this person was born. If the person was born in Washington, D.C., print District of Columbia. If the person was born in a U.S. territory or commonwealth, print Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, or Northern Marianas.

"For persons born outside the United States:

Print the name of the foreign country or area where the person was born. Use current boundaries, not boundaries at the time of the persons birth. Specify whether Northern Ireland or the Republic of Ireland (Eire); East or West Germany; North or South Korea; England, Scotland, or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (not, for example, West Indies)."


9. Is this person a CITIZEN of the United States?

O Yes, born in the United States - Skip to 11

O Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas

O Yes, born abroad of American parent or parents

O Yes, U.S. citizen by naturalization

O No, not a citizen of the United States

"A person should fill the Yes, U.S. citizen by naturalization circle only if he/she has completed the naturalization process and is now a United States citizen. If the person was born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas, he/she should fill the Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas circle. If the person was born outside the United States (or at sea) and has at least one American parent, he/she should fill the Yes, born abroad of American parent or parents circle."
10. When did this person come to the United States to stay?

O 1987 to 1990 O 1970 to 1974

O 1985 or 1986 O 1965 to 1969

O 1982 to 1984 O 1960 to 1964

O 1980 or 1981 O 1950 to 1959

O 1975 to 1979 O Before 1950

"If the person has entered the United States (that is, the 50 states and the District of Columbia) more than once, fill the circle for the latest year he/she came to stay."

11. At any time since February 1, 1990, has this person attended regular school or college?
Include only nursery school, kindergarten, elementary school, and schooling which leads to a high school diploma or a college degree.

O No, has not attended since February 1

O Yes, public school, public college

O Yes, private school, private college

"Do not include enrollment in a trade or business school, company training, or tutoring unless the course would be accepted for credit at a regular elementary school, high school, or college. A public school is any school or college that is controlled and supported primarily by a local, county, State, or Federal Government. Schools are private if supported and controlled primarily by religious organizations or other private groups."

12. How much school has this person COMPLETED?
Fill ONE circle for the highest level COMPLETED or degree RECEIVED. If currently enrolled, mark the level of previous grade attended or highest degree received.

O No school completed

O Nursery school

O Kindergarten

O 1st, 2nd, 3rd, or 4th grade

O 5th, 6th, 7th, or 8th grade

O 9th grade

O 10th grade

O 11th grade

O 12th grade, NO DIPLOMA

O HIGH SCHOOL GRADUATE - high school DIPLOMA or the equivalent (For example: GED)

O Some college but no degree

O Associate degree in college - Occupational program

O Associate degree in college - Academic program

O Bachelors degree (For example: BA, AB, BS)

O Masters degree (For example: MA, MS, MEng, MEd, MSW, MBA)

O Professional school degree (For example: MD, DDS, DVM, LLB, JD)

O Doctorate degree (For example: PhD, EdD)

"Mark the category for the highest grade or level of schooling the person has successfully completed or the highest degree the person received. If the person is enrolled in school, mark the category containing the highest grade completed (the grade previous to the grade in which enrolled). Schooling completed in foreign or ungraded schools should be reported as the equivalent level of schooling in the regular American school system. Persons who completed high school by passing an equivalency test, such as the General Education Development (GED) examination, and did not attend college, should fill the circle for high school graduate. Do not include vocational certificates or diplomas from vocational, trade, or business schools or colleges unless they were college level associate degrees or higher. Some examples of professional school degrees include medicine, dentistry, chiropractic, optometry, osteopathic medicine, pharmacy, podiatry, veterinary medicine, law, and theology. Do not include barber school, cosmetology, or other training for a specific trade. Do not include honorary degrees awarded by colleges and universities to individuals for their accomplishments. Include only "earned" degrees."
13. What is this person's ancestry or ethnic origin?
(See instruction guide for further information.)

(For example: German, Italian, Afro-Amer., Croatian, Cape Verdean, Dominican, Ecuadorean,

Haitian, Cajun, French Canadian, Jamaican, Korean, Lebanese, Mexican, Nigerian, Irish,

Polish, Slovak, Taiwanese, Thai, Ukranian, etc.)

"Print the ancestry group. Ancestry refers to the persons ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. All persons, regardless of citizenship status, should answer this question. Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Be specific. For example, print whether West Indian, Asian Indian, or American Indian. West Indian includes persons whose ancestors came from Jamaica, Trinidad, Haiti, etc. Distinguish Cape Verdean from Portuguese; French Canadian from Canadian; and Dominican Republic from Dominica Island. A religious group should not be reported as a person's ancestry."

14a. Did this person live in this house or apartment 5 years ago (on April 1, 1985)?

"Mark Yes if this person lived in this same house or apartment on April 1, 1985, even if he/she moved away and came back since then. Mark No if this person lived in the same building but in a different apartment (or in the same mobile home or trailer but on a different lot or trailer site)."

O Born after April 1, 1985 - Go to questions for the next person

O Yes - Skip to 15a

O No

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

"If this person lived in a different house or apartment on April 1, 1985, give the location of this persons usual home at that time."

(1) Name of U.S. State or foreign country

___________________________________________

(If outside U.S., print answer above and skip to 15a.)

"If the person lived in the United States on April 1, 1985, print the name of the State (or District of Columbia) where he or she lived. Continue with parts (2) through (4). If the person lived in a U.S. territory or commonwealth, print the name of the territory or commonwealth, such as Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, or Northern Marianas. Then go to question 15a. If the person lived outside the United States, print the name of the foreign country or area where he or she lived. Specify whether Northern Ireland or the Republic of Ireland (Eire); East or West Germany; North or South Korea; England, Scotland or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (not, for example, West Indies). Then go to question 15a."

(2) Name of county in the U.S.

___________________________________________

"If the person lived in Louisiana, print the parish name. If the person lived in Alaska, print the borough name. If the person lived in New York city and the county name is not known, print the borough name. If the person lived in an independent city (not in any county) or in Washington, D.C. , leave blank and enter the city name in part (3)."

(3) Name of city or town in the U.S.

___________________________________________

"If the person lived in New England, print the name of the town rather than the village name, unless the name of the town is not known. If the person lived outside the limits or boundaries of any city or town, print the name of the post office or the nearest town and mark No, lived outside the city/town limits in part (4)."

(4) Did this person live inside the city or town limits?

O Yes O No, lived outside the city/town limits

"Mark Yes if the location is now inside the city/town limits even if it was not inside the limits on April 1, 1985; that is, if the area was annexed by the city/town since that time."
15a. Does this person speak a language other than English at home?

O Yes O No - Skip to 16

"Mark Yes if the person sometimes or always speaks a language other than English at home. Do not mark Yes for a language spoken only at school or if speaking is limited to a few expressions or slang."

b. What is this language?

___________________________________________

(For example: Chinese, Italian, Spanish, Vietnamese)

"Print the name of the language spoken at home. If this person speaks more than one non-English language and cannot determine which is spoken more often, report the first language the person learned to speak."

c. How well does this person speak English?

O Very well O Not well

O Well O Not at all
16. When was this person born?

O Born before April 1, 1975 - Go to 17a

O Born April 1, 1975 or later - Go to questions for the next person
17a. Has this person ever been on active-duty military service in the Armed Forces of the United States or ever been in the United States military Reserves or the National Guard?

If service was in Reserves or National Guard only, see instruction guide.

O Yes, now on active duty

O Yes, on active duty in past, but not now

O Yes, service in Reserves or National Guard only - Skip to 18

O No - Skip to 18

"For a person with service in the National Guard or a military reserve unit, fill one of the two Yes, active duty circles if and only if the person has ever been called up for active duty other than training; otherwise, mark Yes, service in Reserves or National Guard only. For a person whose only service was as a civilian employee or volunteer for the Red Cross, USO, Public Health Service, or War or Defense Department, mark No. Count World War II Merchant Marine Seaman service as active duty; do not count other Merchant Marine service as active duty."

b. Was active-duty military service during -

Fill a circle for each period in which this person served.

O September 1980 or later

O May 1975 to August 1980

O Vietnam era (August 1964 - April 1975)

O February 1955 - July 1964

O Korean conflict (June 1950 - January 1955)

O World War II (September 1940 - July 1947)

O World War I (April 1917 - November 1918)

O Any other time

c. In total, how many years of active-service military service has this person had?

__________Years
18. Does this person have a physical, mental, or other health condition that has lasted for 6 or more months and which -

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

O Yes O No

"Mark Yes to part (a) if a health condition substantially limits this person in his or her choice of occupation or if the condition limits the amount of work that can be accomplished in a given period of time."

b. Prevents this person from working at a job?

O Yes O No

"Mark Yes to part (b) if the health condition prevents this person from holding any significant employment."
19. Because of a health condition that has lasted for 6 or more months, does this person have any difficulty -

"Consider a person to have difficulty with these activities if any of the following situations apply: (1) it takes extra time or extra effort for the person to perform one or more of the activities, (2) there are times when the person cannot perform one or more of the activities, or (3) the person is completely unable to perform one more of the activities."

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

O Yes O No

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

O Yes O No

20. If this person is a female -

How many babies has she ever had, not counting still births?

Do not count her stepchildren or children she has adopted.

None 1 2 3 4 5 6 7 8 9 10 11 12 or more

O O O O O O O O O O O O O

"Count all children born alive, including any who have died (even shortly after birth) or who no longer live with you. Do not include miscarriages or stillborn children or any adopted, foster, or stepchildren."

21a. Did this person work at any time LAST WEEK?

O Yes - Fill this circle if this person worked full time or part time. (Count as part-time work such as delivering papers, or helping without pay in a family business or farm. Also count active duty in the Armed Forces.)

O No - Fill this circle if this person did not work, or did only own housework, school work, or volunteer work. - Skip to 25.

"Count as work - Mark Yes:

- Work for someone else for wages, salary, piece rate, commission, tips, or payments "in kind" (for example, food, lodging received as payment for work performed).

- Work in own business, professional practice, or farm.

- Any work in a family business or farm, paid or not.

- Any part-time work including babysitting, paper routes, etc.

- Active duty in Armed Forces.

"Do not count as work - Mark No:

- Housework or yard work at home.

- Unpaid volunteer work.

- School work.

- Work done as a resident of an institution."

21b. How many hours did this person work LAST WEEK (at all jobs)?

Subtract any time off. Add overtime or extra hours worked. _________ Hours

22. At what location did this person work LAST WEEK?

If this person worked at more than one location, print where he or she worked most last week.

a. Address (Number and street)

(If the exact address is not known, give a description of the location such as the building name or the nearest street or intersection.)

"Include the street type (for example, St., Road, Ave.) and the street direction (if a direction such as "North" is part of the address). For example, print 1239 N. Main St. or 1239 Main St., N.W. not just 1239 Main. If the only known address is a post office box, give a description of the work location. For example, print the name of the building or shopping center where the person works, the nearest intersection, the nearest street where the workplace is located, etc. DO NOT GIVE A POST OFFICE BOX NUMBER. If the person worked at a military installation or military base that has no street address, report the name of the military installation or base. If the person worked at several locations, but reported to the same location each day to begin work, print the address of the location here he or she reported. If the person did not report to the same location each day to begin work, print the address of the location where he or she worked most last week. If the persons employer operates in more than one location (such as a grocery store chain or public school system), print the exact address of the location or branch where the person worked. If the exact address of a school is not known, print the name of the school. If the person worked on a college or university campus and the exact address of the workplace is not known, print the name of the building where he or she worked."

b. Name of city, town, or post office
__________

c. Is the work location inside the limits of that city or town?

O Yes O No, outside the city/town limits

d. County____________________ e. State____________________
f. ZIP Code__________________

"If the person worked in New York city and the county is not known, print the name of the borough where the person worked. If the person worked in Louisiana, print the name of the parish where the person worked. If the person worked in Alaska, print the name of the borough where the person worked. If the person worked in a foreign country or Puerto Rico, Guam, etc., print the name of the country in 22e and leave the other parts of question 22 blank."
23a. How did this person usually get to work LAST WEEK?

If this person usually used more than one method of transportation during the trip, fill the circle of the one used for most of the distance.

O Car, truck, or van O Motorcycle

O Bus or trolley bus O Bicycle

O Streetcar or trolley car O Walked

O Subway or elevated O Worked at home - Skip to 28

O Railroad

O Ferryboat O Other method

O Taxicab

If "car, truck, or van" is marked in 23a, go to 23b. Otherwise, skip to 24a.

"If the person usually used more than one type of transportation to get to work (for example, rode the bus and transferred to the subway), fill the circle of the one method of transportation that he/she used for most of the distance during the trip."

b. How many people, including this person, usually rode to work in the car, truck, or van LAST WEEK?

O Drove alone O 5 people

O 2 people O 6 people

O 3 people O 7 to 9 people

O 4 people O 10 or more people

"If the person was driven to work by someone who then drove back home or to a nonwork destination, fill the circle for Drove alone. DO NOT include persons who rode to school or some other nonwork destination in the count of persons who rode in the vehicle."
24a. What time did this person usually leave home to go to work LAST WEEK?

O a.m.

____________________ O p.m.

"Give the time of day the person usually left home to go to work. DO NOT give the time that the person usually began his or her work. If the person usually left home to go to work sometime between 12:00 o'clock midnight and 12:00 o'clock noon, fill the a.m. circle. If the person usually left home to go to work sometime between 12:00 o'clock noon and 12:00 o'clock midnight, fill the p.m. circle."

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

____________________ Minutes - Skip to 28

"Travel time is from door to door. Include time taken waiting for public transportation or picking up passengers in a car pool."

25. Was this person TEMPORARILY absent or on layoff from a job or business LAST WEEK?

O Yes, on layoff

O Yes, on vacation, temporary illness, labor dispute, etc.

O No

"If the person works only during certain seasons or on a day-by-day basis when work is available, mark No."

26a. Has this person been looking for work during the last 4 weeks?

O Yes O No - Skip to 27

"Mark Yes if the person tried to get a job or to start a business or professional practice at any time in the last 4 weeks; for example, registered at an employment office, went to a job interview, placed or answered ads, or did anything toward starting a business or professional practice."

b. Could this person have taken a job LAST WEEK if one had been offered?

O No, already has job

O No, temporarily ill

O No, other reasons (in school, etc.)

O Yes, could have taken job

"Mark No, already has a job if the person was on layoff or was expecting to report to a job within 30 days. Mark No, temporarily ill if the person expects to be able to work within 30 days. Mark No, other reasons if the person could not have taken a job because he or she was going to school, taking care of children, etc."

27. When did this person last work, even for a few days?

O 1990 - Go to 28 O 1980 to 1984 - Skip to 32

O 1989 - Go to 28 O 1979 or earlier - Skip to 32

O 1988 - Go to 28 O Never worked - Skip to 32

O 1985 to 1987 - Go to 28

"Look at the instructions for question 21a to see what to count as work. Mark Never worked if the person: (1) never worked at any kind of job or business, either full or part time, (2) never did any work, with or without pay, in a family business or farm, and (3) never served in the Armed Forces."

28 - 30. CURRENT OR MOST RECENT JOB ACTIVITY. Describe clearly this persons chief job activity or business last week. If this person had more than one job, describe the one at which this person worked the most hours. If this person had no job or business last week, give information for his/her last job or business since 1985.
28. Industry or Employer

a. For whom did this person work?

If now on active duty in the Armed Forces, fill this circle ® O and print the branch of the Armed Forces.

____________________________________

(Name of company, business, or other employer)

"If the person worked for a company, business, or government agency, print the name of the company, not the name of the person's supervisor. If the person worked for an individual or a business that had no company name, print the name of the individual worked for. If the person worked in his/her own business, print ' self-employed."

b. What kind of business or industry was this?

Describe the activity at location where employed.

_________________________

(For example: hospital, newspaper publishing, mail order house, auto engine manufacturing, retail bakery)

"Print two or more words to tell what the business, industry, or individual employer named in 28a did. If there is more than one activity, describe only the major activity at the place where the person worked. Enter what is made, what is sold, or what service is given. Some examples of what to enter:

Enter a description like the following - Do not enter -
Metal furniture manufacturing Furniture company
Retail grocery store Grocery store
Petroleum refining Oil company
Cattle ranch Ranch"

c. Is this mainly - Fill ONE circle
O Manufacturing
O Wholesale trade
O Retail trade
O Other (agriculture, construction, service, government, etc.)
29. Occupation
a. What kind of work was this person doing?
_________________________
(For example: registered nurse, personnel manager, supervisor of order department,
gasoline engine assembler, cake icer)

"Print two or more words to describe the kind of work the person did. If the person was a trainee, apprentice, or helper, include that in the description. Some examples of what to enter:

Enter a description like the following - Do not enter -
Production clerk Clerk
Carpenter's helper Helper
Auto engine mechanic Mechanic
Registered nurse Nurse"

b. What were this person's most important activities or duties?
_________________________
(For example: patient care, directing hiring policies, supervising order clerks,
assembling engines, icing cakes)
30. Was this person - Fill ONE circle
O Employee of a PRIVATE FOR PROFIT company or business or of an individual,
for wages, salary, or commissions
O Employee of a PRIVATE NOT-FOR-PROFIT, tax-exempt, or charitable organization
O Local GOVERNMENT employee (city, county, etc.)
O State GOVERNMENT employee
O Federal GOVERNMENT employee
O SELF-EMPLOYED in own NOT INCORPORATED business, professional practice, or farm
O SELF-EMPLOYED in own INCORPORATED business, professional practice, or farm
O Working WITHOUT PAY in family business or farm

"Mark Employee of a PRIVATE NOT-FOR-PROFIT ... organization if the person worked for a cooperative, credit union, mutual insurance company, or similar organization. Employees of foreign governments, the United Nations, and other international organizations should mark PRIVATE NOT-FOR-PROFIT ... organization. For persons who worked at a public school, college or university, mark the appropriate government category; for example, mark State GOVERNMENT employee for a state university, or mark Local GOVERNMENT employee for a county-run community college or a city-run public school."

31a. Last year (1989), did this person work, even for a few days, at a paid job or in a business or farm?
O Yes O No - Skip to 32
"Look at the instructions for question 21a to see what to count as work."

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

"Count every week in which the person did any work at all, even for an hour."

c. During the weeks WORKED in 1989, how many hours did this person usually work each week?
_______________ Hours
32. INCOME IN 1989 -
Fill the "Yes" circle below for each income source received during 1989. Otherwise, fill the "No" circle. If "Yes," enter the total amount received during 1989. For income received jointly, see instruction guide. If exact amount is not known, please give best estimate. If net income was a loss, write "Loss" above the dollar amount.

"Fill the Yes or No circle for each part and enter the amount received during 1989. If income from any source was received jointly by household members, report, if possible, the appropriate share for each person; otherwise, report the whole amount for only one person and fill the No circle for the other person."
a. Wages, salary, commissions, bonuses, or tips from all jobs - Report amount before deductions for taxes, bonds, dues, or other items.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include wages and salaries from all jobs before deductions. Be sure to include any tips, commissions, or bonuses. Owners of incorporated businesses should enter their salary here. Military personnel should include base pay plus cash housing and/or subsistence allowance, flight pay, uniform allotments, reenlistment bonuses, etc."

b. Self-employment income from own nonfarm business, including proprietorship and partnership -
Report NET income after business expenses.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include NONFARM profit (or loss) from self-employment in sole proprietorships and partnerships. Exclude profit (or loss) of incorporated businesses you own."

c. Farm self-employment income - Report NET income after operating expenses. Include earnings as a tenant farmer or sharecropper.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include FARM profit (or loss) from self-employment in sole proprietorships and partnerships. Exclude profit (or loss) of incorporated farm businesses you own. Also exclude amounts from land rented for cash but include amounts from land rented for shares."

d. Interest, dividends, net rental income or royalty income, or income from estates and trusts -
Report even small amounts credited to an account.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include interest received or credited to checking and savings accounts, money market funds, certificates of deposit (CDS), IRAs, KEOGHs, and government bonds. Include dividends received, credited, or reinvested from ownership of stocks or mutual funds. Include profit (or loss) from royalties and the rental of land, buildings or real estate, or from roomers or boarders. Income received by self-employed persons whose primary source of income is from renting property or from royalties should be included in questions 32b or 32c above. Include regular payments from an estate or trust fund."

e. Social Security or Railroad Retirement
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include Social Security (and/or Railroad Retirement) payments to retired persons, to dependents of deceased insured workers, and to disabled workers before Medicare deductions."

f. Supplemental Security Income (SSI), Aid to Families with Dependent Children (AFDC), or other
public assistance or public welfare payments.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include Supplemental Security Income received by aged, blind, or disabled persons, Aid to Families with Dependent Children, or income from other government programs such as general or emergency assistance. Do not include assistance received from private charities. Exclude assistance to pay for heating (cooling) costs."

g. Retirement, survivor, or disability pensions - Do NOT include Social Security.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include retirement, disability, or survivor benefits received from companies and unions; Federal, State, and local governments, and the U.S. military. Include regular income from annuities and IRA or KEOGH retirement plans."

h. Any other sources of income received regularly such as Veterans' (VA) payments, unemployment compensation, child support, or alimony - Do NOT include lump-sum payments such as money from an inheritance or the sale of a home.
O Yes ®
O No $________________ .00
Annual amount - Dollars
"Include Veterans' (VA) disability compensation and educational assistance payments (VEAP), unemployment compensation, child support or alimony, and all other regular payments such as Armed Forces transfer payments; assistance from private charities; regular contributions from persons not living in the household, etc.
"Do not include the following as income in any item:
- Refunds or rebates of any kind
- Withdrawals from savings of any kind
- Capital gains or losses from the sale of homes, shares of stock, etc.
- Inheritances or insurance settlements
- Any type of loan
- Pay in-kind such as food, free rent, etc."
33. What was this person's total income in 1989?
Add entries in questions 32a through 32h; subtract any losses. If total amount was a loss, write "Loss" above amount.
O None OR $_________________ .00
Annual amount - Dollars
1990 HOUSING QUESTIONS

FOR CENSUS USE

A. Total persons
0 O 0 O
1 O 1 O
2 O 2 O
3 O
4 O
5 O
6 O
7 O
8 O
9 O

B. Type of Unit
Occupied
O First form
O Continuation
Vacant
O Regular
O Usual home elsewhere

C1. Vacancy Status
O For rent
O For sale only
O Rented or sold, not occupied
O For seas./rec./occ.
O For migrant workers
O Other vacant

C2. Is this unit boarded up?
O Yes
O No

D. Months vacant
O Less than 1
O 1 up to 2
O 2 up to 6
O 6 up to 12
O 12 up to 24
O 24 or more

NOW PLEASE ANSWER QUESTIONS H1A-H26 FOR THIS HOUSEHOLD

H1a. Did you leave anyone out of your list of persons for Question 1a on page 1 [that is, the first population question] 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 still in the hospital, or a person who stays here once in a while and has no other home?
O Yes, please print the name(s) and reason(s). ¯ O No
______________________________
______________________________
"Refer to the list of persons you entered in question 1a on page 1. If you left anyone out of your list because you were not sure if the person(s) should be listed, answer questions H1a as Yes. Then enter the name(s) and reason(s) why you did not list the person(s) on the lines provided. Otherwise, answer question H1a as No."

b. Did you include anyone in your list of person for Question 1a on page 1 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?
O Yes, please print the name(s) and reason(s). ¯ O No
______________________________
______________________________
"If you included anyone on your list even though you were not sure that you should list the person(s), answer question H1b as Yes. Then enter the name(s) and reason(s) why you listed the person(s) on the lines provided. Otherwise, answer question H1b as No."

H2. Which best describes this building? Include all apartments, flats, etc., even if vacant.
O A mobile home or trailer
O A one-family house detached from any other house
O A one-family house attached to one or more houses
O A building with 2 apartments
O A building with 3 or 4 apartments
O A building with 5 to 9 apartments
O A building with 10 to 19 apartments
O A building with 20 to 49 apartments
O A building with 50 or more apartments
O Other
"Fill only one circle. Count all occupied and vacant apartments in the house or building. Do not count stores or office space. Detached means there is open space on all sides, or the house is joined only to a shed or garage. Attached means that the house is joined to another house or building by at least one wall that goes from ground to roof. An example of A one-family house attached to one or more houses is a row of houses attached to one another. A mobile home or trailer that has had one or more rooms added or built onto it should be counted as a one-family detached house; a porch or shed is not considered a room."

H3. How many rooms do you have in this house or apartment?
Do NOT count bathrooms, porches, balconies, foyers, halls, or half-rooms.
O 1 room O 4 rooms O 7 rooms
O 2 rooms O 5 rooms O 8 rooms
O 3 rooms O 6 rooms O 9 or more rooms
"Count only whole rooms in your house, apartment, or mobile home used for living purposes, such as living rooms, dining rooms, kitchens, bedrooms, finished recreation rooms, family rooms, etc. Do not count bathrooms, kitchenettes, strip or pullman kitchens, utility rooms, foyers, halls, half-rooms, porches, balconies, unfinished attics, unfinished basements, or other unfinished space used for storage."

H4. Is this house or apartment -
O Owned by you or someone in this household with a mortgage or loan?
O Owned by you or someone in this household free and clear (without a mortgage)?
O Rented for cash rent?
O Occupied without payment of cash rent?
"Housing is owned if the owner or co-owner lives in it. Mark Owned by you or someone in this household with a mortgage or loan if the house, apartment, or mobile home is mortgaged or there is a contract to purchase. Mark Owned by you or someone in this household free and clear (without a mortgage) if there is no mortgage or other debt. If the house, apartment, or mobile home is owned but the land is rented, mark this question to show the status of the house, apartment, or mobile home. Mark Rented for cash rent if any money rent is paid, even if the rent is paid by persons who are not members of your household, or by a federal, state, or local government agency. Mark Occupied without payment of cash rent if the unit is not owned or being bought by the occupants and if money rent is not paid or contracted. The unit may be owned by friends or relatives who live elsewhere and who allow occupancy without charge. A house or apartment may be provided as part of wages or salary. Examples are: caretaker's or janitor's house or apartment; parsonages; tenant farmer or sharecropper houses for which the occupants do not pay cash rent; or military housing."

H5. If this is a ONE-FAMILY HOUSE -
a. Is this house on ten or more acres?
O Yes O No
"Answer H5a and H5b if you live in a one-family house or a mobile home; include only land that you own or rent."

b. Is there a business (such as a store or barber shop) or a medical office on this property?
O Yes O No
"A business is easily recognized from the outside; for example, a grocery store or barber shop. A medical office is a doctor's or dentist's office regularly visited by patients."
H6. Answer only if you or someone in this household OWNS OR IS BUYING this house or apartment -
What is the value of this property; that is, how much do you think this house and lot or condominium unit would sell for if it were for sale?
O Less than $10,000 O $70,000 to $74,999
O $10,000 to $14,999 O $75,000 to $79,999
O $15,000 to $19,999 O $80,000 to $89,999
O $20,000 to $24,999 O $90,000 to $99,999
O $25,000 to $29,999 O $100,000 to $124,999
O $30,000 to $34,999 O $125,000 to $149,999
O $35,000 to $39,999 O $150,000 to $174,999
O $40,000 to $44,999 O $175,000 to $199,999
O $45,000 to $49,999 O $200,000 to $249,999
O $50,000 to $54,999 O $250,000 to $299,999
O $55,000 to $59,999 O $300,000 to $399,999
O $60,000 to $64,999 O $400,000 to $499,999
O $65,000 to $69,999 O $500,000 or more
"If this is a house, include the value of the house, the land it is on, and any other structures on the same property. If the house is owned but the land is rented, estimate the combined value of the house and the land. If this is a condominium unit, estimate the value for your house or apartment including your share of the common elements. If this is a mobile home, include the value of the mobile home and the value of the land. If you rent the land, estimate the value of the rented land and add it to the value of the mobile home."

H7. Answer only if you PAY RENT for this house or apartment -
a. What is the monthly rent?
O Less than $80 O $375 to $399
O $80 to $99 O $400 to $424
O $100 to $124 O $425 to $449
O $125 to $149 O $450 to $474
O $150 to $174 O $475 to $499
O $175 to $199 O $500 to $524
O $200 to $224 O $525 to $549
O $225 to $249 O $550 to $599
O $250 to $274 O $600 to $649
O $275 to $299 O $650 to $699
O $300 to $324 O $700 to $749
O $325 to $349 O $750 to $999
O $350 to $374 O $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: If rent is paid: Divide rent by:
By the day..................................... 30 4 times a year.................................3
By the week....................................4 2 times a year................................. 6
Every other week............................2 Once a year................................... 12"

b. Does the monthly rent include any meals?
O Yes O No
"Answer Yes if meals are included in the monthly rent payment, or you must contract for meals or a meal plan in order to live in this building."
H8. When did the person listed in column 1 on page 2 [the head of household; the first person listed in population question 1] move into this house or apartment?
O 1989 or 1990
O 1985 to 1988
O 1980 to 1984
O 1970 to 1979
O 1960 to 1969
O 1959 or earlier

"The person listed in column 1 refers to the person listed in the first column on page 2 [the head of household; the first person listed in question 1]. This person should be the household member (or one of the members) in whose name the house, apartment, or mobile home is owned, being bought, or rented. If there is no such person, any adult household member can be the person in column 1. Mark when this person last moved into this house, apartment, or mobile home."

H9. How many bedrooms do you have; that is, how many bedrooms would you list if this house or apartment were on the market for sale or rent?
O No bedroom
O 1 bedrooms
O 2 bedrooms
O 3 bedrooms
O 4 bedrooms
O 5 or more bedrooms
"Include all rooms intended to be used as bedrooms in this house, apartment, or mobile home, even if they are currently being used for other purposes."

H10. Do you have COMPLETE plumbing facilities in this house or apartment; that is, 1) hot and cold piped water, 2) a flush toilet, and 3) a bathtub or shower?
O Yes, have all three facilities
O No

"Mark Yes, have all three facilities if you have all the facilities mentioned; all facilities must be in your house, apartment, or mobile home, but not necessarily in the same room. Consider that you have hot water even if you have it only part of the time. Mark No if any of the three facilities is not present."

H11. Do you have COMPLETE kitchen facilities; that is, 1) a sink with piped water, 2) a range or cookstove, and 3) a refrigerator?
O Yes O No

"The kitchen sink, stove, and refrigerator must be located in the building but do not have to be in the same room. Portable cooking equipment is not considered as a range or cookstove."

H12. Do you have a telephone in this house or apartment?
O Yes O No

"Answer Yes only if the telephone is located in your house, apartment, or mobile home."

H13. How many automobiles, vans, and trucks of one-ton capacity or less are kept at home for use by members of your household?
O None
O 1
O 2
O 3
O 4
O 5
O 6
O 7 or more

"Count company cars (including police cars and taxicabs) and company trucks of one-ton capacity or less that are regularly kept at home and used by household members for nonbusiness purposes. Do not count cars or trucks permanently out of working order."

H14. Which FUEL is used MOST for heating this house or apartment?
O Gas: from underground pipes serving the neighborhood
O Gas: bottled, tank, or LP
O Electricity
O Fuel oil, kerosene, etc.
O Coal or coke
O Wood
O Solar energy
O Other fuel
O No fuel used

"Fill the circle for the fuel used most to heat your house, apartment, or mobile home. In buildings containing more than one apartment you may obtain this information from the owner, manager, or janitor. Solar energy is provided by a system that collects, stores, and distributes heat from the sun. Other fuel includes any fuel not separately listed; for example, purchased steam, fuel briquettes, waste material, etc."

H15. Do you get water from -
O A public system such as a city water department, or private company?
O An individual drilled well?
O An individual dug well?
O Some other source such as a spring, creek, river, cistern, etc.?

"If a well provides water for five or more houses, apartments, or mobile homes, mark A public system. If a well provides water for four or fewer houses, apartments, or mobile homes, fill one of the circles for Individual well. Drilled wells, or small diameter wells, are usually less than 1½ feet in diameter. Dug wells are generally hand dug and are larger than 1½ feet wide."

H16. Is this building connected to a public sewer?
O Yes, connected to public sewer
O No, connected to septic tank or cesspool
O No, use other means

"A public sewer may be operated by a government body or private organization. A septic tank or cesspool is an underground tank or pit used for disposal of sewage."

H17. About when was this building first built?
O 1989 or 1990
O 1985 to 1988
O 1980 to 1984
O 1970 to 1979
O 1960 to 1969
O 1950 to 1959
O 1940 to 1949
O 1939 or earlier
O Don't know

"Fill the circle corresponding to the period in which the original construction was completed, not the time of any later remodeling, additions, or conversions. In buildings containing more than one apartment, the owner, manager, or janitor may be of help in determining when the building was built. If you live in a houseboat or a trailer or mobile home, fill the circle corresponding to the model year in which it was manufactured. If you do not know the period when the building was first constructed, fill the circle for Don't know."

H18. Is this house or apartment part of a condominium?
O Yes O No
"A condominium is a type of ownership in which the apartments, houses, or mobile homes in a building or development are individually owned, but the common areas, such as lobbies, halls, etc., are jointly owned. Cooperative occupants should mark No."

If you live in an apartment building, skip to H20.

H19a. Is this house on less than 1 acre?
O Yes - Skip to H20
O No
"Answer H19a and H19b if you live in a one-family house or mobile home."

b. In 1989, what were the actual sales of all agricultural products from this property?
O None
O $1 to $999
O $1,000 to $2,499
O $2,500 to $4,999
O $5,000 to $9,999
O $10,000 or more
"This property is the acreage on which the house is located; it includes adjoining land you rent for your use. Report sales made in 1989 from this property by you or previous occupants."

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

INSTRUCTION: Answer questions H21 TO H26, 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 page 6 [that is, to complete the population questions].

H21. What were the real estate taxes on THIS property last year?
$_____________ .00
Yearly amount - Dollars
OR
O None

"Report taxes for all taxing jurisdictions (city or town, county, state, school district, etc. ) Even if they are included in your mortgage payment, not yet paid or paid by someone else, or are delinquent. Do not include taxes past due from previous years."

H22. What was the annual payment for fire, hazard, and flood insurance on THIS property?
$_____________ .00
Yearly amount - Dollars
OR
O None

"When premiums are paid on other than a yearly basis, convert to a yearly basis. Enter the yearly amount even if no payment was made during the past 12 months."

H23a. Do you have a mortgage, deed of trust, contract to purchase, or similar debt on THIS property?
O Yes, mortgage, deed of trust, or similar debt - Go to H23b
O Yes, contract to purchase - Go to H23b
O No - Skip to H24a

"The word mortgage is used as a general term to indicate all types of loans that are secured by real estate."

b. How much is your regular monthly mortgage payment on THIS property?
Include payment only on first mortgage or contract to purchase.
$_______________ .00
Monthly amount - Dollars
OR
O No regular payment required - Skip to H24a

"Enter a monthly amount even if it is unpaid or paid by someone else. If the amount is paid on some other periodic basis, see the instructions for H7a to change it to a monthly amount. Include payments on first mortgages and contracts to purchase only. Payments for second or junior mortgages and home equity loans should be reported in H24b."

c. Does your regular monthly mortgage payment include payments for real estate taxes on THIS property?
O Yes, taxes included in payment
O 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?
O Yes, insurance included in payment
O No, insurance paid separately or no insurance
H24a. Do you have a second or junior mortgage or a home equity loan on THIS property?
O Yes
O No - Skip to H25

"A second or junior mortgage or home equity loan is secured by real estate."

b. How much is your regular monthly payment on all second or junior mortgages and
all home equity loans?
$_______________ .00
Monthly amount - Dollars
OR
O No regular payment required
"Enter a monthly amount even if it is unpaid or paid by someone else. If the amount is paid on some other periodic basis, see instructions for H7a and change it to a monthly amount. Include payments on all second or junior mortgages or home equity loans."
H25. Answer ONLY if this is a CONDOMINIUM -
What is the monthly condominium fee?
$________________ .00
Monthly amount - Dollars
"A condominium fee is normally assessed by the condominium owners' association for the purpose of improving and maintaining the common areas. Enter a monthly amount even if it is unpaid or paid by someone else. If the amount is paid on some other periodic basis, see the instructions for H7a on how to change it to a monthly amount."

H26. Answer ONLY if this is a MOBILE HOME -
What was the total cost for personal property taxes, site rent, registration fees, and license fees on this mobile home and its site last year? Exclude real estate taxes.
$_______________ .00
Yearly amount - Dollars
"Report amount even if your bills are unpaid or paid by someone else. Include payments for personal property taxes, land or site rent, registration fees and license feels. Do not include real estate taxes already reported in H21. The amount to be reported should be the total amount for an entire 12-month billing period even if made in two or more installments. Estimate as closely as possible when exact costs are not known."

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

* Everyone who usually lives here such as family members, housemates and roommates, foster children, roomers, boarders, and live-in employees
* Persons who are temporarily away on a business trip, on vacation, or in a general hospital
* College students who stay here while attending college
* Persons in the Armed Forces who live here
* Newborn babies still in the hospital
* Children in boarding schools below the college level
* Persons who stay here most of the week while working even if they have a home somewhere else
* Persons with no other home who are staying here on April 1

Do NOT include

* Persons who usually live somewhere else
* Persons who are away in an institution such as a prison, mental hospital, or a nursing home
* College students who live somewhere else while attending college
* Persons in the Armed Forces who live somewhere else
* Persons who stay somewhere else most of the week while working

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 perons, 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, born 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 5 [ ] 1970 to 1974
1 [ ] 1985 or 1986 6 [ ] 1965 to 1969
2 [ ] 1982 to 1984 7 [ ] 1960 to 1964
3 [ ] 1980 or 1981 8 [ ] 1950 to 1959
4 [ ] 1975 to 1979 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 4 [ ] 4th 7 [ ] 7th 10 [ ] 10th

2 [ ] 2nd
5 [ ] 5th 8 [ ] 8th 11 [ ] 11th
3 [ ] 3rd 6 [ ] 6th 9 [ ] 9th

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 4 [ ] 1987 7 [ ] 1984
2 [ ] 1989 5 [ ] 1986 8 [ ] 1983
3 [ ] 1988 6 [ ] 1985 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 4 [ ] 4 7 [ ] 7 10 [ ] 10
2 [ ] 2 5 [ ] 5 8 [ ] 8 11 [ ] 11
3 [ ] 3 6 [ ] 6 9 [ ] 9 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 business 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 business 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 6 [ ] 6 rooms
2 [ ] 2 rooms 7 [ ] 7 rooms
3 [ ] 3 rooms 8 [ ] 8 rooms
4 [ ] 4 rooms 9 [ ] 9 or more rooms
5 [ ] 5 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 $10,00014 [ ] $70,000 to $74,999
2 [ ] $10,000 to $14,99915 [ ] $75,000 to $79,999
3 [ ] $15,000 to $19,99916 [ ] $80,000 to $89,999
4 [ ] $20,000 to $24,99917 [ ] $90,000 to $99,999
5 [ ] $25,000 to $29,99918 [ ] $100,000 to $124,999
6 [ ] $30,000 to $34,99919 [ ] $125,000 to $149,999
7 [ ] $35,000 to $39,99920 [ ] $150,000 to $174,999
8 [ ] $40,000 to $44,99921 [ ] $175,000 to $199,999
9 [ ] $45,000 to $49,99922 [ ] $200,000 to $249,999
10 [ ] $50,000 to $54,99923 [ ] $250,000 to $299,999
11 [ ] $55,000 to $59,99924 [ ] $300,000 to $399,999
12 [ ] $60,000 to $64,99925 [ ] $400,000 to $499,999
13 [ ] $65,000 to $69,99926 [ ] $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 $6014 [ ] $350 to $374
2 [ ] $60 to $7915 [ ] $375 to $399
3 [ ] $80 to $9916 [ ] $400 to $424
4 [ ] $100 to $12417 [ ] $425 to $449
5 [ ] $125 to $14918 [ ] $450 to $474
6 [ ] $150 to $17419 [ ] $475 to $499
7 [ ] $175 to $19920 [ ] $500 to $549
8 [ ] $200 to $22421 [ ] $550 to $599
9 [ ] $225 to $24922 [ ] $600 to $649
10 [ ] $250 to $27423 [ ] $650 to $699
11 [ ] $275 to $29924 [ ] $700 to $749
12 [ ] $300 to $32425 [ ] $750 to $999
13 [ ] $325 to $34926 [ ] $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

28. 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