This bilingual community self-survey system is designed to assess the level of living and the culture of poverty in segments of any community or in the entire community, whether it be rural or urban. This project was originally undertaken in June 1966 for the Office of Economic Opportunity. The four parts now published by the Iowa Urban Community Research Center are revised from a system presented to O.E.O. in 1967. Part 1 is an English language version of the Interview Schedule for a bilingual community self-survey system. The Interview Schedule, developed and written for use in both Spanish and English, deals with nine central topics: place of work, residence, and migration; employment and unemployment; family organization and family planning; income and expenditures; dietary patterns and stability; health and medical experience; level of living; experience with and knowledge of public and private social agencies; and status of minority groups. The instrument was thoroughly pretested in its entirety. In addition, individual sections of the schedule presenting unusual difficulty were separately pretested a number of times on both Anglo and Mexican-American populations in the Iowa City area. (Author/JM)