Form SOC-QI/SF.1 Survey of Housing Starts, Sales & Completions (Single-fa

Attachment A

FORM SOC-QI/SF.1
(11-2-2011)

OMB No. 0607-0110: Approval Expires 10/31/2014
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

SURVEY OF CONSTRUCTION
SINGLE-FAMILY BUILDINGS
TO BE COMPLETED BY CENSUS FIELD REPRESENTATIVE
Address or location of building

Builder/Owner
PSU

SAMPLE FORM

Project Name

Permit Month
Issued:

Building permit number

Day

Year Block Lot

BPOID

Serving post office, State, ZIP Code
RO

TO BE COMPLETED BY RESPONDENT
Month

START_DATE

Year

When did excavation start for the footings or
foundation of this house?

What primary material is being used for the framing of this
house?

EXCOMP_DATE

Month

Year

Month

COMP_DATE

Year

SALE_CATEGORY

4

Wood
Steel
Concrete/masonry other than insulated concrete forms
Insulated concrete forms OR SIP
Other – Specify

FOUNDATION

What type of foundation will this house have?

Is this house being built –
for sale or is it already sold?
for the owner by a contractor on
the owner’s land?

4

on owner’s land entirely by owner?
for rent?

5

as part of Habitat for Humanity?

3

3

5

When was this house completed or occupied?

2

1
2

When do you expect to complete this house?

1

FRAMING

1

}

Full or partial basement
Will part or all of this basement be finished?

Skip to
ASSOCIATION
2
3

DEPOSIT

4

1

Yes – Skip to BASEMENTSQFOOT

2

No – Skip to

TOTAL SQ FOOT
TOTALSQFOOT

Crawl space
Slab
Raised supports (pilings, piers, etc.)

Was a deposit taken or a sales agreement signed for this house?
5

Yes
No
This a model home

1
2
3

}

Skip to

BASEMENTSQFOOT
Month

When was a deposit taken or a sales
agreement signed?

No

ASSOCIATION

DIMENSQFOOT

Will this house be part of a community or
homeowner’s association?
Yes

1

Is the square footage based on interior or exterior dimensions?

No

2

1

DEVELOPMENT

Will this house be in a development that is age-restricted?
1

Yes

2

No

What will be the square foot area of the finished part of
the basement?

What will be the square foot area of completely finished
floor space, including finished areas of the basement
and attic?

Will this house be part of a condominium project?
2

Year

TOTALSQFOOT

CONDO
Yes

Skip to
TOTAL SQ FOOT
TOTALSQFOOT

CONDO

DEPOSIT_DATE

1

Other – Specify

}

Interior

2

Exterior

LOT_MEASUREMENT

What is the size of the individual lot
on which the house is being built?

DETACHED

Will this house be –
1

Detached?

STORIES
2

Attached?

MANUFACTURE

How many stories, not including the basement, will be
in this house?

Will this house be –
1

Modular?

3

Precut?

2

Panelized?

4

Site-built?

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FOYER

PRIMARYSOURCE

What fuel will be used most for heating this house?

Will this house have a two-story foyer?
1

Yes

No

2

How many of the following will be in this house?

5

Half Bathrooms

HALFBATHS

7

FIREPLACES

8

4
5
6

Will this house have central air conditioning?
1

In the basement
On the first floor
On the second or higher floor
In the garage or carport

4
5

No connection planned
Multiple locations

Wood or wood products

8

Stone, rock, or other stone materials
Poured concrete or concrete block

9

Other – Specify

5
6

Individual well
Other – Specify

What sewage disposal system will be used for this
house?
1
2

CONTRACT_PRICE

What is the current market value of
the improved lot?

Will this house have any of the following?

What type of financing was or will be arranged?
1

Conventional

2

FHA
VA
Cash
Other – Specify

Decks

1

Yes

2

No

Patios

1

Yes

2

No

PATIOS

4

No

PORCHES

5

2

$

FINANCING

DECKS

Yes

$

LOT_VALUE

A carport
Other off-street parking (driveway with no garage or carport)
None of the above

1

or

What is the sales price or contract
price for this house?

A garage for 1 car
A garage for 2 cars
A garage for 3 or more cars

Porches

Public sewers (including community or shared sewage/septic system)
Individual septic system
Other – Specify

SALE_PRICE

What type of parking will this house have?

4

Public water (including community or shared water supply/well)

3

PARKING

3

1

SEWAGE

Vinyl siding (including vinyl-covered aluminum)
Stucco
Brick or brick veneer
Fiber cement siding (such as Hardiplank or Hardiboard)

6

2

No

2
3

7

1

2

What water supply source will be used for this house?

Which wall material will cover most of the house
when it is completed?
3

Yes

WATER

PRIMARYWALL

2

Solar
Coal
Other – Specify

6

AIRCONDITIONING

Where will the washer and dryer connections be
located in this house?

3

4

FULLBATHS

LAUNDRY

2

Natural gas
Bottled or liquified petroleum gas (including propane)
Oil (including heating oil or kerosene)
Wood (including pellets)

Full Bathrooms

Fireplaces

1

Electricity

2
3

BEDROOMS

Bedrooms

1

3

PRIMARYSYSTEM

Which heating system will be used most in this house?
2

Heat pump, air source (including reverse-cycle AC)

3

Heat pump, ground source (geothermal)

4

Forced air furnace without heat pump
Hot water or steam (including hydronic systems)
Electric baseboard (including heat strips and wall panels)
Fireplace with insert
Solid fuel burning stove (including wood or coal stoves)
Liquid fuel burning stove

5
6
7
8
9
10
11
12

Passive solar system
No heat – Skip to
AIRCONDITIONING
Other – Specify

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NOTES:

PLEASE RETAIN THIS FORM FOR YOUR USE WHEN
CONTACTED BY YOUR CENSUS REPRESENTATIVE

FORM SOC-QI/SF.1 (11-2-2011)

SOC-QI/SF.1, Page 2, 100% BLACK INK

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