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APPENDIX 1: HOUSING DEMAND SURVEY INSTRUMENT <br /> 17 - Other <br /> 0.1 Hello, I'm with SMS Research, a 99- Don't Know/Refused <br /> Honolulu research company. We are <br /> conducting a survey about housing in Hawaii. 0.7 Are you or anyone in your household at least <br /> The results will be used to plan for housing 25% Hawaiian? <br /> needs in the State. Are you an adult resident 1 -Yes <br /> of Hawaii? Are you one of the heads of the 2 - No <br /> household? 9— Refused <br /> Q.2 Please be aware that my supervisor may be Q•8 Are you a DHHL applicant on the waiting list <br /> taping this interview for internal quality for Hawaiian Homestead land? <br /> control. 1 -Yes <br /> 2 - No <br /> Q.3 We would like to begin by asking you a few 8- Don't Know <br /> questions to determine what we will ask you 9— Refused <br /> during the survey. First, what was your age <br /> at your last birthday? Q.9 Is anyone else in your household on the <br /> 1 - Under 18 years DHHL waiting list for Hawaiian Homestead <br /> 2 - 18 to 21 land? <br /> 3 - 22 to 34 1 -Yes <br /> 4 - 35 to 59 2 - No <br /> 5 - 60 to 74 8- Don't Know <br /> 6 - 75 or older 9— Refused <br /> 9— Refused <br /> you current) live on? Q•10 Are you a DHHL Lessee? <br /> Q.4 What island do <br /> y y 1 -Yes <br /> 1 - Oahu 2 - No <br /> 2 - Maui 8- Don't Know <br /> 3 - Hawai'i 9— Refused <br /> 4 - Ka'ua'i <br /> 5 - Moloka'i Q.11 Are you living on Hawaiian Homestead land <br /> 6 - Lana'i right now? <br /> 9- Refused 1 -Yes <br /> 2 - No <br /> Q.5 What is your current zip code? 8- Don't Know <br /> 9— Refused <br /> Q.6 What is your ethnic background? <br /> 01 - Caucasian Q.12 Are you a part of DHHL's Undivided Interest <br /> 02 - Black or African-American Group who are lessee's soon to be awarded <br /> 03 - Hawaiian or Part-Hawaiian their land? <br /> 04 - Japanese 1 -Yes <br /> 05 - Chinese 2 - No <br /> 06 - Filipino 8- Don't Know <br /> 07 - Korean 9— Refused <br /> 08 - Vietnamese Q.13 Thank you. Next, I have some questions <br /> 09 - Asian Indian about your current home. How many bedrooms are <br /> 10 - Other Asian there in your home? <br /> 11 - Guamanian or Chamorro NUMBER OF BEDROOMS: <br /> 12 - Micronesian, Chuukese, etc. <br /> 13 - Samoan Q.14 How many bathrooms are there in your <br /> 14 - Other Pacific Islander home? <br /> 15 - American Indian or Alaska Native NUMBER OF BATHROOMS: <br /> 16 - Hispanic or Latino <br /> Hawaii Housing Planning Study, 2011: Technical Report Page 18 <br /> ©SMS, Inc. November, 2011 <br />