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Exit Survey
 
 
PART A - Basic Facts
 
 
First, we’d like to ask some general questions about you and your home. This will also help us compare our results with other state and national surveys.
 
 
 
1. Which of the following best describes the building in which you live? Responses B and C will include living units within apartment/condominium buildings or townhouses.
 
Single family home not attached to others
 
2-4 living units
 
5+ living units
 
Manufactured or Mobile home
 
 
 
2. What is the approximate age of your residence? Please estimate if you are not sure.
 
Before 1930
 
1930 to 1939
 
1940 to 1949
 
1950 to 1959
 
1960 to 1969
 
1970 to 1979
 
1980 to 1989
 
1990 to 1999
 
2000 to 2013
 
Don’t know
 
 
 
3. Approximately how large is this dwelling in square feet (sq ft)? Include all livable space but not unheated areas.

Example:
1 Kitchen 12’ x 15’ 180 sq ft
1 Living Room 14’ x 16’ 224 sq ft
1 Bath 8’ x 12’ 96 sq ft
2 Bedrooms 12’ x 12’ 288 sq ft
Total Square Feet 788 sq ft
 
Less than 800 sq ft
 
800 to 1,199 sq ft
 
1,200 to 1,599 sq ft
 
1,600 – 1,999 sq ft
 
2,000 to 2,499 sq ft
 
2,500 to 2,999 sq ft
 
Over 3,000 sq ft
 
Don’t know
 
 
 
4. How many bedrooms are in your home?
   
 
 
 
5. How many rooms are in your home? Do not count bathrooms, hallways, porches, or basements and attics used for storage, left vacant, etc.
   
 
 
 
6. Do you rent or own your residence?
 
Rent
 
Own
 
 
 
7. Do you have an Internet connection at home?
 
Yes
 
No
 
Don't know
 
 
The following appliances are often found in the home. Please indicate the number and approximate age of each that you have (and use) in your home or apartment. If you have none mark the first column.
None 0-5 6-10 10+
Large television (>36 in)
Standard television (<=36 in)
Stereo/audio system/home theater
Digital satellite or cable box
Digital video disk player (DVD)
Video game player
Refrigerator
Separate stand-alone freezer
Electric kitchen stove/range
Gas kitchen stove/range
None 0-5 6-10 10+
Microwave oven
Dishwasher
Clothes washer
Electric clothes dryer
Gas clothes dryer
Electric fan, attic, ceiling or floor
Dehumidifier
Humidifier
Heated waterbed
Desktop computer
Laptop computer
Electric heated hot tub
Heated swimming pool
Unheated swimming pool