Healthy Home Study Pre Screening Questionnaire Question Title * 1. Zip Code OK Question Title * 2. Average monthly Electric bill OK Question Title * 3. Average monthly Gas bill OK Question Title * 4. Average monthly Water bill OK Question Title * 5. Number of people in household Adults Children (under 18) OK Question Title * 6. Do you rent or own the property? Rent Own OK Question Title * 7. What type of building do you live in? Single Family Home Townhouse or Condominium Multi-Unit Dwelling (2-4 units) Apartment Building (5 or more units) Mobile Home Other (please specify) OK NEXT