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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)

April 1, 2010 or later
2000 to 3/31/2010
1990 to 1999
1980 to 1989
1970 to 1979
1960 to 1969
1950 to 1959
1940 to 1949
1939 or earlier

Attachment B-2

HVSNUM

How many housing units are in this structure?
*Do not ask
*Count occupied and vacant
(1)
(2)
(3)
(4)
(5)
(6)

HVSRM

1 unit - detached
1 unit - attached (Examples -townhouse, rowhouses, etc.)
2 units
3-4 units
5-9 units
10 or more units

How many rooms are in this unit?
*Do not ask
*Count the kitchen and not the bathroom
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)

HVSBD

How many bedrooms are in the unit?
(1)
(2)
(3)
(4)
(5)

HVSPLB

1 room
2 rooms
3 rooms
4 rooms
5 rooms
6 rooms
7 rooms
8 or more rooms

1 Bedroom
2 Bedrooms
3 Bedrooms
4 or more bedrooms
None

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

Attachment B-3

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)
(2)
(3)
(4)

HVSAC

Does this unit have air conditioning?
(1)
(2)
(3)
(4)

HVSOCC

No bathroom, or only a half bathroom
1 complete bathroom
1 complete bathroom, plus half bath(s)
2 or more complete bathrooms

Yes, a central air-conditioning system
Yes, 1 individual room unit
Yes, 2 or more individual room units
No

Has this unit ever been occupied?
(1) Yes
(2) No

HVSVAC

How many months has this unit been vacant?
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Up to 1 month
1 up to 2 months
2 up to 4 months
4 up to 6 months
6 up to 12 months
1 year up to 2 years
2 years or more

Attachment B-4

HVSSTA

Is this unit
*Read Categories
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)

HVSOTH

For rent
Rented, not occupied
For sale only -- regular ownership
For sale only -- condominium or cooperative ownership
Sold, not yet occupied
For occasional use
Occupied by person with usual home elsewhere
Other
Ask if necessary

Why is the unit vacant?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
HVSSTS

Foreclosure
Personal/Family
Legal Proceedings
Rent/Sell
Storage of Furniture
Needs Repairs
Repair/Renovate
Specific Use
Absence
Abandoned, Demolished, or Condemned
Other

Other – specify

Attachment B-5

HVSRNT

What is the monthly rent asked for this unit?
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)

HVSUT1

Less than $100
$100 to $199
$200 to $249
$250 to $299
$300 to $349
$350 to $399
$400 to $449
$450 to $499
$500 to $599
$600 to $699
$700 to $799
$800 to $899
$900 to $999
$1000 to $1249
$1250 to $1499
$1500 to $1749
$1750 to $1999
$2000 or more

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

Attachment B-6

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)

END_HVS

Less than $10,000
$10,000 to $12,499
$12,500 to $14,999
$15,00 to $19,999
$20,000 to $24,999
$25,000 to $29,999
$30,000 to $34,999
$35,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to 74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 to $199,999
$200,000 to $249,999
$250,000 to $249,999
$300,000 -$349,999
$350,000 -$399,999
$400,000 -$449,999
$450,000 -$499,999
$500,000 -$549,999
$550,000 -$599,999
$600,000 or more

**NON-DISPLAYED ITEM**