Domain 1 |
|
|
Kitchens and bathrooms |
Does your kitchen have a working oven? (Yes) |
96 |
|
Does the tap water have a problem with color or bad odor? (No) |
98 |
|
Is there a working light fixture in the kitchen ceiling or wall? (Yes) |
94 |
|
How many working outlets are in the kitchen? (2 or more) |
91 |
|
Is there hot and cold running water at each kitchen/bath sink/tub? (Yes) |
88 |
|
Is there water leaking from any kitchen/bath sink, drain, or pipe? (No) |
87 |
|
Is any kitchen or bath sink, tub, or shower clogged? (No) |
87 |
|
Does the bathroom have a window that opens or a ventilation system that works? (Yes) |
82 |
|
Ask parent: How many times did the toilets not work for 6 h or more? (None) |
80 |
|
Ask parent: Has any bathroom floor been covered by water because of plumbing problems? (No) |
80 |
Domain2 |
|
|
Electrical |
Is all the building's wiring in your home enclosed in walls or metal coverings? (Yes) |
88 |
|
Do all electrical outlets and switches have cover plates? (Yes) |
92 |
|
Not counting the bathroom, does each room have at least 1 working outlet? (Yes) |
98 |
Domain 3 |
|
|
Heating and cooling |
In cold weather do you ever need to use your oven to heat your home? (No) |
86 |
|
If your home comes with air conditioning, does it work correctly? (Yes) |
96 |
|
Can you adjust the heat when it is too hot or too cold? (Yes) |
86 |
Domain 4 |
|
|
Walls, ceilings, and floors |
Are there any holes or large cracks where outdoor air or rain can come in? (No) |
87 |
|
Do you see any walls, ceilings, or floors with serious problems like sagging, leaning, buckling, or large holes? (No) |
82 |
Domain 5 |
|
|
Sanitation and safety |
Ask parent: In your home, do you smell bad odors such as sewer, natural gas, etc? (No) |
92 |
|
Do all outside doors have locks that work? (Yes) |
97 |
|
Do all bedrooms have a window you can open? (Yes) |
88 |
|
Does any window have broken glass that can cut someone? (No) |
95 |
|
Ask parent: In the last 3 mo, has your mail been stolen or tampered with? (No) |
97 |
|
In case of fire, do you have a least 2 ways out of the home? (Yes) |
93 |
|
Are secure handrails on all stairs and landings? (Yes) |
89 |
Domain 6 |
|
|
Outside the home |
Is the condition of any porch or balcony dangerous? (No) |
96 |
|
Are any outside handrails, steps, or stairs unsafe? (No) |
89 |
|
Is any sidewalk, driveway, or parking lot damaged in a way that could cause you to trip? (No) |
91 |
|
Are fences or gates in bad condition? (Yes) |
90 |
|
Do you see any walls with serious leaning, buckling, or large holes? (No) |
94 |
|
Does the garbage service pick up each week? (Yes) |
98 |
|
Ask parent: Do you have either covered dumpsters or covered cans for your garbage and trash? (Yes) |
80 |