Attachment B - HVS Questionnaire

Attachment B

HVSOBS	*Do not read to respondent Is the HVS interview being completed by observation? (1) Yes (2) No
HVSPV	*The HVS interview requires a knowledgeable respondent unless this is a last resort Press F10 if this is NOT a last resort. (Find a knowledgeable HVS respondent to complete the HVS interview.) Enter (1) to Continue, only if this is a last resort interview Enter 1 to continue
HVSC	*Do not ask Is this housing unit on a place of (1)    Less than 10 acres (2)    10 acres or more
HVSYR	In what year was this structure built? (1) April 1, 2010 or later (2) 2000 to 3/31/2010 (3)    1990 to 1999 (4)    1980 to 1989 (5)    1970 to 1979 (6)    1960 to 1969 (7)    1950 to 1959 (8)    1940 to 1949 (9)    1939 or earlier
HVSNUM	How many housing units are in this structure? *Do not ask *Count occupied and vacant (1)    1 unit - detached (2)    1 unit - attached (Examples -townhouse, rowhouses, etc.) (3)    2 units (4)    3-4 units (5)    5-9 units (6)    10 or more units
HVSRM	How many rooms are in this unit? *Do not ask *Count the kitchen and not the bathroom (1)    1 room (2)    2 rooms (3)    3 rooms (4)    4 rooms (5)    5 rooms (6)    6 rooms (7)    7 rooms (8)    8 or more rooms
HVSBD	How many bedrooms are in the unit? (1) 1 Bedroom (2) 2 Bedrooms (3)    3 Bedrooms (4)    4 or more bedrooms (5)    None
HVSPLB	Does this unit have COMPLETE plumbing facilities; that is, 1) hot and cold piped water, 2) a flush toilet, and 3) a bathtub or shower? (1)    Yes, have all three facilities (2)    No
HVSKIT	Does this unit have COMPLETE kitchen facilities; that is, 1) a sink with piped water, 2) a range or cookstove, and 3) a refrigerator? (1)    Yes, have all three facilities (2)    No
HVSBTH	How many bathrooms does this unit have? A complete bathroom is a room with flush toilet, bathtub or shower, and wash basin with piped water. A half bathroom has at least a flush toilet or bathtub or shower, but does not have all the facilities for a complete bathroom. (1)    No bathroom, or only a half bathroom (2)    1 complete bathroom (3)    1 complete bathroom, plus half bath(s) (4)    2 or more complete bathrooms
HVSAC	Does this unit 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
HVSOCC	Has this unit ever been occupied? (1) Yes (2) No
HVSVAC	How many months has this unit been vacant? (1)    Up to 1 month (2)    1 up to 2 months (3)    2 up to 4 months (4)    4 up to 6 months (5)    6 up to 12 months (6)    1 year up to 2 years (7)    2 years or more
HVSSTA	Is this unit *Read Categories (1)    For rent (2)    Rented, not occupied (3)    For sale only -- regular ownership (4)    For sale only -- condominium or cooperative ownership (5)    Sold, not yet occupied (6)    For occasional use (7)    Occupied by person with usual home elsewhere (8)    Other
HVSOTH	Ask if necessary Why is the unit vacant? (1)    Foreclosure (2)    Personal/Family (3)    Legal Proceedings (4)    Rent/Sell (5)    Storage of Furniture (6)    Needs Repairs (7)    Repair/Renovate (8)    Specific Use (9)    Absence (10) Abandoned, Demolished, or Condemned (11) Other
HVSSTS	Other – specify
HVSRNT	What is the monthly rent asked for this unit? (1)    Less than $100 (2)    $100 to $199 (3)    $200 to $249 (4)    $250 to    $299                                  (5)    $300 to $349                                                        (6)    $350 to    $399                                                        (7)    $400 to $449                                                        (8)    $450 to $499                                                        (9)    $500    to $599 (10) $600 to $699 (11) $700 to $799 (12) $800 to $899 (13) $900 to $999 (14) $1000 to $1249 (15) $1250 to $1499 (16) $1500 to $1749 (17) $1750 to $1999 (18) $2000 or more
HVSUT1	In addition to rent, does renter pay for: Electricity? (1) Yes (2) No
HVSUT2	In addition to rent, does renter pay for: Gas? (1) Yes (2) No
HVSUT3	In addition to rent, does renter pay for: Water? (1) Yes (2) No
HVSUT4	In addition to rent, does renter pay for: Oil, coal, wood, kerosene, etc.? (1) Yes (2) No
HVSCOM	Is any part of this property used as a commercial establishment, or a medical or dental office? (1) Yes (2) No
HVSPRC	What is the sales price asked for this property? (1)    Less than $10,000 (2)    $10,000 to $12,499 (3)    $12,500 to $14,999 (4)    $15,00 to $19,999 (5)    $20,000 to $24,999 (6)    $25,000 to $29,999 (7)    $30,000 to $34,999 (8)    $35,000 to $39,999 (9)    $40,000 to $49,999 (10) $50,000 to $59,999 (11) $60,000 to 74,999 (12) $75,000 to $99,999 (13) $100,000 to $124,999 (14) $125,000 to $149,999 (15) $150,000 to $199,999 (16) $200,000 to $249,999 (17) $250,000 to $249,999 (18) $300,000 -$349,999 (19) $350,000 -$399,999 (20) $400,000 -$449,999 (21) $450,000 -$499,999 (22) $500,000 -$549,999 (23) $550,000 -$599,999 (24) $600,000 or more
END_HVS	**NON-DISPLAYED ITEM**