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1980 census of population. Characteristics of the ... - Census Bureau

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Appendix E.- Facsimiles <strong>of</strong> Questionnaire Pages<br />

Page 4<br />

H17 . Are your main cooking facilities inside or outside this building?<br />

Inside this build ding \<br />

What type <strong>of</strong> cooking<br />

Outside this buiilding<br />

J facilities are <strong>the</strong>se? --y<br />

O Electric stove G Gas stove<br />

O Kerosene stove<br />

No cooking facilities<br />

H18. Is <strong>the</strong>re a refrigerator in your living quarters?<br />

Mechanical _<br />

Ice<br />

No refrigerator<br />

H19. Does your living quarters have electric power?<br />

.' No<br />

Yes ->- Is <strong>the</strong> electricity supplied by<br />

O<strong>the</strong>r {fireplace, hotplate, etc.)<br />

A public utility'<br />

C A private generator? - What is <strong>the</strong> source <strong>of</strong> energy?<br />

Diesel oil<br />

Solar<br />

1 • O<strong>the</strong>r<br />

H20. What are <strong>the</strong> costs <strong>of</strong> utilities and fuels for your living quarters?<br />

a. Electricity<br />

Included in rent or no charge<br />

$ 00 OR<br />

-- ~, Electricity not used<br />

Average monthly cost<br />

b. Water<br />

$ -00 OR<br />

A verage monthly cost<br />

c. Oil, gas, kerosene, wood, etc.<br />

$ 00 OR<br />

VearJy'cost<br />

H21. Do you have a telephone in your living quarters?<br />

Yes No<br />

H22. Do you have a radio?<br />

Yes No<br />

H23. Do you have a television set?<br />

Yes No<br />

H24. Do you have air-conditioning?<br />

Yes, a central air conditioning system<br />

Yes, 1 individual room unit<br />

Yes, 2 or more individual room units<br />

No<br />

Included in rent or no charge<br />

Included in rent or no charge<br />

''^^^^ ^"^^^ "°' "'^''<br />

f125. How many automobiles, vans or light trucks are kept at home for use by<br />

members <strong>of</strong> your household? (include company-owned vehicles kept at home.)<br />

' 1<br />

None<br />

automobile or truck or van. etc<br />

2 automobiles or trucks or vans, etc<br />

3 or more automobiles or trucks or vans, etc<br />

H26. Are your living quarters —<br />

:<br />

! Occupied<br />

Owned or being bought by you or by someone else in this household'<br />

Rented for cash rent'<br />

without payment <strong>of</strong> cash rent?<br />

H27. Ask <strong>of</strong>persons who rent <strong>the</strong>ir living quarters -<br />

What is <strong>the</strong> monthly rent? If rent is not paid by <strong>the</strong> month, see <strong>the</strong><br />

Questionnaire Reference Booh on how to figure a monthly rent.<br />

O Less than $50 $150 to $169<br />

O $50 to $59 .^ $170 to $179<br />

O $60 to $69 O $180 to $189<br />

O $70 to $79 O $190 to $199<br />

$80 to $89 $200 to $224<br />

$90 to $99 _ $225 to $249<br />

$100 to $109<br />

$110to $119<br />

$120 to $129<br />

$130 to $139<br />

$140 to $149<br />

$150 to $159<br />

$250 to $274<br />

$275 to $299<br />

$300 to $349<br />

$350 to $399<br />

$400 to $499<br />

$500 or more<br />

H28. If this is a one-family house - Is any part <strong>of</strong> <strong>the</strong> property used<br />

as a commercial establishment or medical <strong>of</strong>fice?<br />

Yes No<br />

ASK H29a IN AMERICAN SAMOA, COMMONWEALTH OF THE<br />

NORTHERN MARIANA ISLANDS, AND THE TRUST TERRITORY<br />

OF THE PACIFIC ISLANDS ONL Y.<br />

H29a. If this is a one-family house (or condominium unit) which is owned or<br />

Is being bought -<br />

What is <strong>the</strong> value <strong>of</strong> this house, that is, how much do you think it<br />

would sell for if it were for sale? Do not include <strong>the</strong> value <strong>of</strong> <strong>the</strong> land.<br />

Do not ask this question if this is a house with a commercial establishment<br />

or medical <strong>of</strong>fice on <strong>the</strong> property.<br />

Less than $1,000<br />

$1,000 to $1,999<br />

$2,000 to $2,999<br />

$3,000 to $3,999<br />

$4,000 to $4,999<br />

$5,000 to $5,999<br />

$6,000 to $7,499<br />

$7,500 to $9,999<br />

$10,000 to $12,499<br />

$12,500 to $14,999<br />

$15,000 to $17,499<br />

$17,500 to $19,999<br />

$20,000 to $22,499<br />

$22,500 to $24,999<br />

$25,000 to $27,499<br />

$27,500 to $29,999<br />

$30,000 to $32,499<br />

$32,500 to $34,999<br />

$35,000 to $37,499<br />

$37,500 to $39,999<br />

$40,000 to $42,499<br />

$42,500 to $44,999<br />

$45,000 to $49,999<br />

$50,000 or more<br />

ASK H29b IN GUAM ONL Y<br />

H29b. If this Is a one-family house (or condominium unit) which is owned<br />

or being bought -<br />

What is <strong>the</strong> value <strong>of</strong> this property, that is, how much do you think<br />

this property (house and lot or condominium unit) would sell for if it<br />

were for sale?<br />

Do not ask this question if this is a house with a commercial establishment<br />

or medical <strong>of</strong>fice on <strong>the</strong> property<br />

Less than $10,000<br />

$10.000to$14.999<br />

$15,000 to$17,499<br />

$17,500to$19.999<br />

$20,000 to $22,499<br />

$22,500 to $24,999<br />

$25,000 to $27,499<br />

$27,500 to $29,999<br />

$30,000 to $34,999<br />

$35,000 to $39,999<br />

$40,000 to $44,999<br />

$45,000 to $49,999<br />

~ $50,000 to $54,999<br />

Ci $55,000 to $59,999<br />

$60,000 to $64,999<br />

O $65,000 to $69,999<br />

O $70,000 to $74,999<br />

.^ $75,000 to $79,999<br />

$80,000 to $89,999<br />

.: $90,000 to $99,999<br />

C $100,000 to $124,999<br />

O $125,000 to $149,999<br />

O $150,000 to $199,999<br />

$200,000 or more<br />

ANSWER THESE QUESTIONS<br />

CENSUS<br />

USE<br />

H20a.<br />

o o<br />

H20b.<br />

H20c.<br />

c c<br />

; 3 3 3<br />

I : I<br />

3 3<br />

G G<br />

? 7<br />

E-5

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