1. please write down only the part that you pay. $_______________ Per Month How many people live in your household (including yourself )? _______________ If you have children give the number in your household that are Enrolled in public school, grades K-12_______________ Enrolled in private school, grades K-12 _______________ If you are married/partnered, is your spouse/partner (please check one) [ ] A University of Virginia student;What is the total amount you pay for utilities during an average month? If you are single and sharing living quarters
2. No What is the market value of each vehicle in your household? Vehicle 1: _______________ Vehicle 2: _______________ Vehicle 3: _______________ Vehicle 4: _______________ How many visitors (parents, friends, etc.) did you have last year from outside the Charlottesville area? Please count each visit separately, even if the same person visits more than once. Only include your visitors, do not include visitors of roommates. _______________ Visitors How many days did your visitors typically stay (per visit)?_______________ Days How often did your visitors stay in a hotel or motel?;Fluvanna Albemarle;Is/are your vehicle(s) registered locally (which means does it display a tax decal from Charlottesville
3. Table 1.3. Road fatalities per 100 000 inhabitants, per billion vehicle-km and per 10 000 registered motor vehicles