2025 HOUSING SURVEY
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1.
Is your home in need of repair?
(Required.)
Yes
No
If yes, (please specify):
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2.
Has your home been tested for radon?
(Required.)
Yes, in the past 1 to 2 years
Yes, in the past 5 years
Yes, in the past 10 years
No, it has NOT been tested
I don't know/not to my knowledge
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3.
Has a member of your household been diagnosed with environmental allergies?
(Required.)
Yes
No
If yes, (please specify):
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4.
Has your home been tested for the presence of lead paint?
(Required.)
Yes
No
I don't know/not to my knowledge
*
5.
Has your home been tested for mold within the last 2 years?
(Required.)
Yes
No
I don't know/not to my knowledge
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6.
Does your home have a carbon monoxide detector?
(Required.)
Yes
No
I don't know/not to my knowledge
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7.
When was your home constructed?
(Required.)
Prior to 1970
1970-1979
1980-1989
1990-1999
2000-2009
2010-2019
2020-present
Unknown
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8.
In which Nebraska county do you reside?
(Required.)
Butler County
Fillmore County
Gage County
Jefferson County
Polk County
Saline County
Seward County
Thayer County
York County
Other (please specify):
