A3
1.
Husband/wife
2. Son/daughter (own, adopted, step, foster
child)
3. Brother/sister (stepbrother/sister)
4.
Father/mother
5. Father-in-law/mother-in-law
6.
Grandchild
7. Grandparent
8. Other relative (cousin,
nephew, etc)
9. Roomer/boarder
10. Unmarried partner
11.
Housemate/roommate
12. Other non-relative
A4
1.
No
2. Puerto Rican
3. Dominican
4.
Cuban
5. South/ Central American
6.
Mexican-American, Mexican, Chicano
7. Other
Spanish/ Hispanic
A5
1.
White
2. Black or African American
3. American Indian or
Alaska Native
4. Asian
5. Native Hawaiian or Other Pacific
Islander
A6
Chinese
Asian Indian
Filipino
Korean
Japanese
Vietnamese
Something else
F62.1
1.
GED program
2. College undergraduate years (freshman to
senior)
3. Graduate or professional school beyond a bachelor's
degree (for example: MA or PhD program, or medical or law school)
4.
Occupational, vocational, or apprenticeship program
5. Literacy
or ESL program
A33,A34, A35
1.
New York City
2. U.S. outside of New York City
3. Puerto
Rico
4. Dominican Republic
5. Caribbean (oter than Puerto
Rico or Dominican Republic
6. Mexico
7. Central/ South
America
8. Canada
9. Armenia, Azerbaijan, Belarus,
Estonia, Georgia, Kazakhstan, Kyrgystan, Latvia, Lithuania, Moldova,
Russia, Tajikistan, Turkmenistan, Ukraine, or Uzbekistan
10.
Other
European countries
11. China, Hong Kong, Taiwan
12. Korea
13. India
14. Pakistan, Bangladesh
15. Philippines
16. Southeast Asia (Cambodia, Laos, Malaysia, Myanmar (Burma),
Singapore, Thailand, Vietnam)
17. Other Asia
18. Africa
19. All other countries – specify
B4
1.
NYC program or grant
2. Federal program or grant
3. Federal
homebuyer loan
4. Non-Profit assistance
5. Gift or other
personal loan
B8
1.
First Mortgage
2. Second Mortage
3. Home Equity Loan
4.
Home Equity Credit Line
5. Reverse Mortgage
6. Other
B23
1.
Principal
2. Interest
3. Property Taxes
4. Homeowners'
Insurance
B18
1.
Mortgage refinanced for the option to suspend or temporarily reduce
mortgage payments
2.
Mortgage refinanced to receive cash or increase the outstanding
balance of the loan
3.
Mortgage refinanced to increase the payment period
4.
Mortgage refinanced to reduce the payment period
5.
Mortgage refinanced to reduce the monthly payment
6.
Mortgage refinanced to get a lower interest rate
7.
Anything other reason
B31
1.
Roof
2. Boiler
3. Pipes
4. Electrical equipment
5.
Mold
6. Asbestos
7. Lead
8. Exterior (cladding,
siding, or windows)
9. Foundation/basement
B36
1.
Electricity
2. Cooking Gas
3. Heat
4.
Water/Sewer
5. Other
6. None
7. All utilities are
included in the rent or condo/coop fees
F5
1.
One or more utility
2. Landline telephone
3. Cell phone
4.
Cable / Internet
5. Other
6. None
B47
The people who live here pay the full rent
Another person pays part or all of the rent
Another program pays part or all of the rent
Both another person and a program pay part or all of the rent
The
landlord is not owed rent for this apartment
B48
Section 8/Housing Choice Voucher
Shelter Allowance/City FEPS
SCRIE/DRIE
Other
assistance that pays part of my rent
B50
A family member or another person
An employer of someone in the household
Other
C7
Yes, complete kitchen facilities
2.
No, some but not all facilities
3.
No kitchen facilities in this apartment (house) but facilities
available in building
4.
No kitchen facilities in building
C4
Yes, complete plumbing facilities
No, some but not all facilities
No plumbing facilities
C39
1.
Very Severe
2. Serious
3. Moderate
4. Slight
C27
1.
Yes, central air conditioning
2. Yes, one or more window air
conditioners
3. No
C19
1.
Most days
2. Some days
3. A few days
4. Never
5.
I did not live here during that time
C44
1.
Issues are resolved quickly
2. Issues are resolved adequately
3.
Issues take a long time to resolve
4. Issues are not resolved
C47, C48
1..
A big problem
2. Somewhat of a problem
3. Not a problem
4.
I do not see this in my building
M43
Less than 1 year
1 year
More that 1 but less than 2 years
2 years
Other
My lease expired but I am still living here
No lease
M14
1.
Husband/wife
2. Son/daughter (own, adopted, step, foster
child)
3. Brother/sister (stepbrother/sister)
4.
Father/mother
5. Father-in-law/mother-in-law
6.
Grandchild
7. Grandparent
8. Other relative (cousin,
nephew, etc)
9. Roomer/boarder
10. Unmarried partner
11.
Housemate/roommate
12. Other non-relative
M35
Cost of the apartment [house]
What I am able to pay at this time
Ability to remain in the home safely and securely
Physical condition of the apartment [house]
Size of the apartment [house]
Apartment amenities (dishwasher, laundry, balcony, etc)
Physical condition of the building
Building amenities (elevator, laundry, gym, etc)
Neighborhood amenities (parks, museums, stores, etc)
Neighborhood safety
The time it takes to get to work
School quality
Proximity of family and friends
M37
Within the next month
More than a month, but in the next six months
More than six months, but in the next year
More than a year, but in the next two years
More than two years
E11
Yes, could have gone to work
No, because of own temporary illness
No,
because of all other reasons (in school, etc.)
E5
PRIVATE SECTOR EMPLOYEE
For-profit company or organization
2.
Non-profit organization (including tax-exempt and charitable
organizations)
GOVERNMENT EMPLOYEE
Local government (for example: city or county school district)
State government (including state colleges/universities)
Active duty U.S. Armed Forces or Commissioned Corps
Federal
government civilian employee
SELF-EMPLOYED OR OTHER
7. Owner of non-incorporated business, professional practice, or farm
8. Owner of incorporated business, professional practice, or farm
9. Worked without pay in a for-profit family business or farm for 15 hours or more per week
E17
Wages, salary, tips, bonuses, or commissions
Income from self-employment such as a free-lancer or contractor, net real estate income including short-term rental of part or all of your apartment/home, or income from a business that is not incorporated
Disability benefits including SSI, SSDI, or a disability pension
Retirement income including Social Security or
Survivor benefits for [person] or [person] on behalf of others
Regular payments from dividends, annuities, stipends, estates, trusts, or royalties
Child support, alimony, or similar
Unemployment
F4
Dental
Preventive care / check-up
Mental health
Treatment or diagnosis of illness or health condition
Prescription drugs
P1
Supplemental Nutrition Assistance Program (SNAP)
Temporary Assistance for Needy Families (TANF)
Women, Infants and Children (WIC)
F10
1.
Insurance through a current or former employer or union (of this
person or another family member)
2. Insurance purchased directly
from an insurance company (by this person or another family
member)
3. Medicare, for people 65 and older, or people with
certain disabilities
4. Medicaid, Medical Assistance or any kind
of government-assistance plan for those with low incomes or a
disability
5. TRICARE or other military health care
6. VA
(including those who have ever used or enrolled for VA health
care)
7. Indian Health Service
8. Any other type of health
insurance or health coverage plan - Specify_________
N25-N3
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
N4
Very safe
Safe
Neither safe nor unsafe
Unsafe
Very unsafe
N5
1.
Not worried at all
2. A little worried
3. Somewhat
worried
4. Very worried
5. Extremely worried
F18
1.
Student Loan
2. Car Loans
3. Loans from relatives and
friends
4. Credit Card
5. Medical Bills
6. Legal
Bills
7. Other
F54
Checking account
Savings account
Equity in a business
Car
Property other than your own home
Retirement plan
Educational savings account
Other Investments
Anything else of value more than $5,000
None
F62
Nursery school, preschool
Head Start
Early Head Start
Universal Pre-K
Kindergarten
Grade 1 through 12
F68
1.
A relative who took care of him/her in your home
2.
A relative who took care of him/her in someone else’s home
3.
A non-relative who took care of him/her in your home
4.
A non-relative who took care of him/her in someone else’s home
5.
A child-care or day-care center, preschool, or nursery school that
was not Early Head Start or Head
Start
6.
Early Head Start or Head Start
N13, N14, N15, N16, N17
A big problem
Somewhat of a problem
Not a problem
I do not see this in my neighborhood
M21-M26, M32-M33
1. Current home
2. Previous home
3. About the same
M27-M28
1. Current building
2. Previous building
3. About the same
M29-M31
1. Current neighborhood
2. Previous neighborhood
3. About the same
F14-F16
1. Often true
2. Sometimes true
3. Never true
E35
1. No, has not attended in the last 3 months
2. Yes, public school
3. Yes, private school, home school
A41
1. Very well
2. Well
3. Not well
4. Not at all
F59
More than my home value
About right
Less than my home value
E6
1. U.S. Army
2. U.S. Navy
3. U.S. Air Force
4. U.S. Marine Corps
5. U.S. Coast Guard
A32
1. Never served in the military
2. Only on active duty for training in the Reserves or National Guard
3. Now on active duty
4. On active duty in the past, but not now
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Powell, Linda |
File Modified | 0000-00-00 |
File Created | 2021-01-16 |