A1. Are you an adult household member on lot?
A2.1. Do you own or rent your home?
A2.2. How much do you pay per month?
A3.1. Who is the owner of your home?
A3.2. Who is the (other) owner?
A3.3. What is the (relationship of other) owner?
A4.1. What sort of title to your land do you have?
A4.2. What sort of (other) title?
A5.1. If you have a deed, whose names are listed?
A5.2. If you have a deed, whose (other) names are listed?
A6. If you are paying for land, do you have a written or oral agreement?
A7.1. If you have a written contract for deed, who are contract buyers?
A7.2. If you have a written contract for deed, who are contract sellers?
A7.3. If you have a written contract for deed, what year was it signed?
A8. How long have you been living on this land / lot?
A9.1. Do you know the lot size?
A9.2. Do you know lot (square feet)?
A9.3. Do you know lot (acres)?
A10.1. From whom did you purchase the land?
A10.2. From whom (other) did you purchase the land?
A11.1. How did you purchase the land?
A11.2. How (other) did you purchase the land?
A12.1. How did you acquire home if purchased separately from land?
A12.2. How (other) did you acquire home if purchased separately from land?
A13. If house is NOT a mobile home, was it here when you purchased the property?
A14.1. From whom did you purchase the home?
A14.2. From whom did you purchase the home (other)?
A15.1. If house is a mobile home, from whom did you purchase it?
A15.2. If house is a mobile home, from whom (other) did you purchase it?
A16. What year did you purchase the home you currently live in?
B17.1. How many separate households are there on this lot?
B17.2. (For 2 houshold units on lot), are they related to you?
B17.3. (For 3 houshold units on lot), are they related to you?
B18.1. How many people live on this household?
B18.2. How many people live on this lot?
B19. How many members of your household are in paid employment?
B20.1. (Person 1) type of work.
B20.2. (Person 1) full- or part-time work.
B20.3. (Person 2) type of work.
B20.4. (Person 2) full- or part-time work.
B20.5. (Person 3) type of work.
B20.6. (Person 3) full- or part-time work.
B21. Does any household member have experience & skills in construction?
B22.1. (Person 1) in construction, what is their name?
B22.2. (Person 1) in construction, what are their skills?
B22.3. (Person 2) in construction, what is their name?
B22.4. (Person 2) in construction, what are their skills?
B22.5. (Person 3) in construction, what is their name?
B22.6. (Person 3) in construction, what are their skills?
B23. What is the total household income including benefits for your household?
B24.1. (Person 1) who lives in house and receives income, list their name.
B24.2. (Person 1) who receives income, list their age.
B24.3. (Person 1) who receives income, do they have a disability?
B24.4. (Person 1) who receives income, list their occupation.
B24.5. (Person 1) who receives income, list their work income.
B24.6. (Person 1) who receives income, list their nonwork income.
B24.7. (Person 1) who receives income, list their nonwork income source.
B24.8. (Person 2) who lives in house and receives income, list their name.
B24.9. (Person 2) who receives income, list their age.
B24.10. (Person 2) who receives income, do they have a disability?
B24.11. (Person 2) who receives income, list their occupation.
B24.12. (Person 2) who receives income, list their work income.
B24.13. (Person 2) who receives income, list their nonwork income.
B24.14. (Person 2) who receives income, list their nonwork income source.
B24.15. (Person 3) who lives in house and receives income, list their name.
B24.16. (Person 3) who receives income, list their age.
B24.17. (Person 3) who receives income, do they have a disability?
B24.18. (Person 3) who receives income, list their occupation.
B24.19. (Person 3) who receives income, list their work income.
B24.20. (Person 3) who receives income, list their nonwork income.
B24.21. (Person 3) who receives income, list their nonwork income source.
B24.22. (Person 4) who lives in house and receives income, list their name.
B24.23. (Person 4) who receives income, list their age.
B24.24. (Person 4) who receives income, do they have a disability?
B24.25. (Person 4) who receives income, list their occupation.
B24.26. (Person 4) who receives income, list their work income.
B24.27. (Person 4) who receives income, list their nonwork income.
B24.28. (Person 4) who receives income, list their nonwork income source.
B24.29. (Person 5) who lives in house and receives income, list their name.
B24.30. (Person 5) who receives income, list their age.
B24.31. (Person 5) who receives income, do they have a disability?
B24.32. (Person 5) who receives income, list their occupation.
B24.33. (Person 5) who receives income, list their work income.
B24.34. (Person 5) who receives income, list their nonwork income.
B24.35. (Person 5) who receives income, list their nonwork income source.
B25. What is your ethnicity?
C26.1. Structure type of the primary dwelling unit you live in:
C26.2. Structure (other) type of the primary dwelling unit you live in:
C26.3. What is the age of your primary housing unit?
C26.4. What sort of foundation does your primary home have?
C26.5. What sort of (other) foundation does your primary home have?
C26.6. What sort of roof does your primary home have?
C26.7. What sort of (other) roof does your primary home have?
C26d. REPEAT QUESTION IGNORE: What sort of foundation?
C26.8. Has your primary unit been extended / added onto?
C26.9. Indicate type of addition to primary home:
C27.1. Number of bedrooms in primary unit:
C27.2. Number of living rooms in primary unit:
C27.3. Number of dining rooms in primary unit:
C27.4. Number of kitchens in primary unit:
C27.5. Number of full bathrooms in primary unit:
C27.6. Number of half bathrooms in primary unit:
C27.7. Number of (other) rooms in primary unit:
C27.8. Types of (other) rooms:
C28. REPEAT QUESTION IGNORE. Age of your primary unit?
C29. Are there additional units on lot used by your or other household members?
C30.1. (Addition 1) type of additional dwelling unit:
C30.2. (Addition 1) (other) type of additional dwelling unit:
C30.3. (Addition 1) usable rooms in additional dwelling unit:
C30.4. (Addition 1) age of additional dwelling unit:
C30.5. (Addition 1) purpose of additional dwelling unit:
C30.6. (Addition 1) (other) purpose of additional dwelling unit:
C30.7. (Addition 2) type of additional dwelling unit:
C30.8. (Addition 2) (other) type of additional dwelling unit:
C30.9. (Addition 2) usable rooms in additional dwelling unit:
C30.10. (Addition 2) age of additional dwelling unit:
C30.11. (Addition 2) purpose of additional dwelling unit:
C30.12. (Addition 2) (other) purpose of additional dwelling unit:
D31.1. What is the supply of water in the primary unit?
D31.2. What is the (other) supply of water in the primary unit?
D31.3. Describe any serious problems with the supply of water:
D32.1. What type of wastewater / drainage system in the primary unit?
D32.2. What type of (other) wastewater/drainage system in the primary unit?
D32.3. What year was the wastewater / drainage system installed?
D32.4. Describe any serious problems with the wastewater/drainage system:
D33.1. What is the principal source(s) of power in the primary unit?
D33.2. What is the (other) principal source(s) of power in the primary unit?
D33.3. Describe any serious problems with the principal source(s) of power:
D34.1. How do you heat your water in the primary unit?
D34.2. How do you (other) heat your water in the primary unit?
D34.3. Does it heat the water supply for all the faucets?
D34.4. Describe any serious problems with the water heat source:
D35.1. What type of system of air cooling in the primary unit?
D35.2. What type of (other) system of air cooling in the primary unit?
D35.3. How many partial AC units?
D35.4. How many ceiling fans?
D35.5. How many stand alone or floor fans?
D35.6. Describe any serious problems with the system of air cooling:
D36.1. How do you dispose of garbage and solid wastes?
D36.2. How do you (other) dispose of garbage and solid wastes?
D36.3. How often is the garbage and solid waste collected?
D36.4. What is the monthly cost for garbage / solid waste disposal?
D36.5. Describe any serious problems with the garbage / solid waste disposal:
D37.1. Rate: Poor insulation
D37.2. Rate: Doors do not shut properly causing draughts or safety concerns
D37.3. Rate: Windows do not close properly causing draughts or safety concerns
D37.4. Rate: Roof leaks
D37.5. Rate: Missing shingles
D37.6. Rate: Humidity/condensation problems
D37.7. Rate: Poor air quality
D37.8. Rate: House shakes when windo blows
D37.9. Rate: Lack of privacy (poor sound proofing from other rooms)
D37.10. Rate: Poor venting from kitchen
D37.11. Rate: Poor venting from bathroom
D37.12. Rate: Poor venting from toilets
D37.13. Rate: Steps to the front door are steep and awkward
D37.14. Rate: Insufficient hot/warm water
D37.15. Rate: Unit is too hot in summer
D37.16. Rate: Unit is too cold in winter
D37.17. Rate: Pest infestation
D37.18. Rate: Mold
D37.19. Rate: Unstable foundation
D37.20. Rate: Poor flooring
D37.21. Rate: Problems with the electrical wiring and/or outlets
D37.22. Rate: Inadequate number of electrical outlets
D37.23. Rate: Plumbing leaks
D37.24. Rate: Problems with septic tank
D37.25. Rate: (Other) problems
D37.26. Rate: Describe (other) problems
D38.1. (Problem 1) most serious:
D38.2. (Problem 1) nature:
D38.3. (Problem 2) most serious:
D38.4. (Problem 2) nature:
D38.5. (Problem 3) most serious:
D38.6. (Problem 3) nature:
D38.7. (Problem 4) most serious:
D38.8. (Problem 4) nature:
D38.9. (Problem 5) most serious:
D38.10. (Problem 5) nature:
D39. Do you have any future housing plans in the next 2 years?
D40.1. What future housing plans do you have?
D40.2. What (other) future housing plans do you have?
D41.1. Do you recycle regularly?
D41.2. What do you recycle regularly?
D41.3. What (other) do you recycle regularly?
D42. Do you have a compost heap?
D43.1. Do you have any household pets or other animals?
D43.2. How many dogs?
D43.3. How many cats?
D43.4. How many chickens?
D43.5. How many caged birds?
D43.6. How many pigs?
D43.7. How many goats?
D43.8. (Pet 1) (other) type?
D43.9. (Pet 1) how many (other)?
D43.10. (Pet 2) (other) type?
D43.11. (Pet 2) how many (other)?
D43.12. (Pet 3) (other) type?
D43.13. (Pet 3) how many (other)?
D44.1. What is the open space in your yard used for?
D44.2. What is the (other) open space?
D45.1. Apart from recycling, have you heard about housing "sustainability"?
D45.2. (Sustainability 1) what have you heard about?
D45.3. (Sustainability 2) what have you heard about?
D45.4. (Sustainability 3) what have you heard about?
D46.1. Do you or any household members have health problems or disabilities?
D46.2. Do you or any members have poor mobility?
D46.3. What is the relationship of members with poor mobility?
D46.4. How does home affect poor mobility?
D46.5. Do you or any members have alzheimers?
D46.6. What is the relationship of members with alzheimers?
D46.7. How does home affect alzheimers?
D46.8. Do you or any members have diabetes?
D46.9. What is the relationship of members with diabetes?
D46.10. How does home affect diabetes?
D46.11. Do you or any members have asthma or respiratory problems?
D46.12. What is the relationship of members with asthma or respiratory problems?
D46.13. How does home affect asthma or respiratory problems?
D46.14. Do you or any members have headaches or migraines?
D46.15. What is the relationship of members with headaches or migraines?
D46.16. How does home affect headaches or migraines?
D46.17. Do you or any members have blindness or sight problems?
D46.18. What is the relationship of members with blindness or sight problems?
D46.19. How does home affect blindness or sight problems?
D46.20. Do you or any members have eye or nose irritations?
D46.21. What is the relationship of members with eye or nose irritation?
D46.22. How does home affect eye or nose irritation?
D46.23. Do you or any members have (other) health problems?
D46.24. What are the (other) health problems?
D46.25. What is the relationship of members with (other) health problems?
D46.26. How does home affect (other) health problems?
Contact phone
Land owner (2009 appraisal)
Home owner (2009 appraisal)
Lot size appraised
Lot value appraised
Home improvement value appraised
A16. In what year did you purchase the home you are currently living in?