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Fact Sheets
The content fact sheets highlight legal requirements, federal, state, and local uses of American
Community Survey data as well as the history of each question. There is a separate fact sheet for
each question or topic.
All documents below are in pdf format.
Housing (Actual Wording of Each Question)
- H1 Units in Structure [PDF]
Which best describes this building?
- H2 Year Structure Built [PDF]
About when was this building first built?
- H3 Year Householder Moved In [PDF]
When did Person 1 (listed in the List of Residents on page 2) move into this house,
apartment, or mobile home?
- H4-5 Acreage
and Agricultural Sales [PDF]
4. How many acres is this house or mobile home on?
5. In the past 12 months, what were the actual sales of all agricultural
products from this property?
- H6 Business or Medical Office on Property [PDF]
Is there a business (such as a store or barber shop) or a medical office
on this property?
- H7 Number of Rooms [PDF]
How many rooms are in this house, apartment, or mobile home?
- H8 Bedrooms [PDF]
How many bedrooms are in this house, apartment, or mobile home; that is,
how many bedrooms would you list if this house, apartment, or mobile home were on the market for
sale or rent?
- H9 Plumbing [PDF]
Does this house, apartment, or mobile home have
complete plumbing facilities; that is (1) hot and cold piped water, (2) a flush toilet, and (3) a bathtub
or shower?
- H10 Kitchen
Facilities [PDF]
Does this house, apartment, or mobile home have complete kitchen facilities;
that is, (1) a sink with piped water, (2) a stove or range, and (3) a refrigerator?
- H11 Telephone
Services [PDF]
Is there telephone service available in this house, apartment, or mobile home
from which you can both make and receive calls.
- H12 Vehicles
Available [PDF]
How many automobiles, vans, and trucks of one-ton capacity or less are kept
at home for use by members of this household?
- H13 House Heating Fuel [PDF]
Which fuel is used most for heating this house,
apartment, or mobile home?
- H14 Cost of Utilities [PDF]
Last month, what was the cost of electricity for
this house, apartment, or mobile home?
- H15 Food Stamps [PDF]
At any time during the past 12 months, did anyone
in this household receive Food Stamps?
- H16 Condominiums [PDF]
In this house, apartment, or mobile home part
of a condominium?
- H17 Tenure [PDF]
Is this house, apartment, or mobile home–Owned by you or someone in this
household with a mortgage or loan? Owned by you or someone in this household free and clear
(without a mortgage or loan)? Rented for cash rent? Occupied without payment of cash rent?
- H18 Rent [PDF]
What is the monthly rent for this house, apartment,
or mobile home?
- H19 Value [PDF]
What is the value of this property; that is, how much do you think this house
and lot, apartment, or mobile home and lot, would sell for if it were for sale?
- H20 Real
Estate Taxes [PDF]
What are the annual real estate taxes on this
property?
- H21 Insurance [PDF]
What is the annual payment for fire, hazard, and
flood insurance on this property?
- H22-23 Mortgages [PDF]
22. Do you or any member of this household have a mortgage, deed of trust,
contract to purchase, or similar debt on this property?
23. Do you or any member of this household have a second mortgage or a
home equity loan on this property?
- H24 Mobile Home Costs [PDF]
What are the total annual costs for personal
property taxes, site rent, registration fees, and license fees on this mobile home and its site?
- H25 Verification of Residence Status
(Seasonal Residence)
Do you or any member of this household live or
stay at this address year round?
Population (Actual Wording of Each Question)
- P1 Sex [PDF]
What is the person's sex?
- P2 Age [PDF]
What is this person's age and what is this person's
date of birth?
- P3 Relationship [PDF]
How is this person related to Person 1?
- P4 Marital Status [PDF]
What is this person's marital status?
- P5 Hispanic
Origin [PDF]
Is this person Spanish/Hispanic/Latino?
- P6 Race [PDF]
What is this person's race?
- P7 Place of Birth [PDF]
Where was this person born?
- P8 Citizenship [PDF]
Is this person a citizen of the United States?
- P9 Year
of Entry [PDF]
When did this person come to live in the
United States?
- P10 School
Enrollment [PDF]
At any time in the last 3 months, has this person
attended regular school or college?
- P11 Educational Attainment [PDF]
What is the highest degree or level of school
this person has completed?
- P12 Ancestry [PDF]
What is this person's ancestry or ethnic origin?
- P13 Language Spoken
at Home [PDF]
Does this person speak a language other than
English at home?
- P14 Residence
One Year Ago [PDF]
Did this person live in this house or apartment 1 year ago?
- P15-17 Disability [PDF]
15. Does this person have any of the following
long-lasting conditions?
16. Because of a physical, mental, or emotional
condition lasting 6 months or more, does this person have any difficulty in doing any of the following
activities?
17. Because of a physical, mental, or emotional
condition lasting 6 months or more, does this person have any difficulty in doing any of the following
activities?
- P18 Children Born in the Past 12 Months [PDF]
Has this person given birth to any children in the past 12 months?
- P19 Grandparents
as Caregivers [PDF]
Does this person have any of his/her own grandchildren
under the age of 18 living in this house or apartment?
- P20-22 Veteran
Status [PDF]
20. Has this person ever served on active
duty in the U.S. Armed Forces, military Reserves, or National Guard?
21. When did this person serve on active duty in the U.S. Armed Forces?
22. In total, how many years of active-duty military service has this person had?
- P23,
29-32 Labor Force
Status [PDF]
23. Last week, did this person do any work for either pay or profit?
29. Last week, was this person on layoff from a job?
30. Has this person been looking for work during the last 4 weeks?
31. Last week, could this person have started a job if offered one, or returned to work if recalled?
32. When did the person last work, even for a few days?
- P24-28 Place
of Work and Journey to Work [PDF]
24. At what location did this person work
last week?
25. How did this person usually get to work last week?
26. How many people, including this person usually rode to work in the car, truck, or van last week?
27. What time did this person usually leave home to go to work last week?
28. How many minutes did it usually take this person to get from home to work last week?
- P33-34 Work
Status Last Year [PDF]
33. During the past 12 months, how many
weeks did this person work?
34. During the past 12 months, in the weeks worked, how many hours did this person usually
work each week?
- P35-40 Class of Worker, Industry,
and Occupation [PDF]
35. Was this person–Mark (X) in one box.
36. For whom did this person work?
37. What kind of business or industry was this?
38. Is this mainly–Mark (X) in one box.
39. What kind of work was this person doing?
40. What were this person's most important activities or duties?
- P41-42 Income [PDF]
41. Income in the past 12 months.
42. What was this person's total income during the past 12 months?
The questionnaires are example of the forms that we have been sending to sample addresses. The summaries
document show how the questionnaires have changed since 1996. |
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available free from Adobe.