(D. L.—268.)

UNITED STATES
DEPARTMENT OF LABOR,
1893.

....................................................................................................
Special Agent Expert

SOCIAL STATISTICS OF CITIES.

 

City of ...............................................

TENEMENT SCHEDULE.

l. Enumeration
district


....................		 2. Ward.



...................		 3. Number of
dwelling-house in
order of visitation.

..........................		 4. Number of
tenement in order
of visitation.

............................		 5. House number and street.


................................................

6. Stories in house? ........................................................................................................................

7. Tenements in house? ....................................................................................................................

8. In which story is this tenement? .......................................................................................................

9. Number of rooms in this tenement? ...................................................................................................

10. Number of families in this tenement? ...............................................................................................

11. Number of persons in this tenement? ................................................................................................

12. Weekly rent of this tenement? ........................................................................................................

13. Bath-room in this tenement? ..........................................................................................................

14. Water-closet in this tenement? ........................................................................................................

15. Privy with this tenement ? .............................................................................................................

16. Yard with this tenement? ..............................................................................................................

17. Size of yard?............................................................................................................................

18. Where is washing hung to dry? ......................................................................................................

19. Light and air?...........................................................................................................................

20. Ventilation?.............................................................................................................................

21. Cleanliness?.............................................................................................................................

22. Outside sanitary condition? ............................................................................................................

 

THE HOME.

INQUIRIES. Room No. 1. Room No. 2. Room No. 3. Room No 4. Room No 5. Room No. 6.

23. Use.........................		            

24. Dimensions.................		            

25. Outside windows..........		            

26. Occupants, at night .......