There is a growing awareness that the condition of the built environment has a substantial impact on health. Systematic housing conditions surveys are a method for developing information about the physical condition of housing. This paper introduces the Center for Economic Information’s (CEI) Neighborhood Housing Conditions Survey (NHCS). We discuss the history and implementation of the NHCS in light of other academic and civic housing conditions surveys. The paper also reviews the history and method of the NHCS. We find that housing conditions surveys are generally designed from scratch for each new research program, translating survey results into policy remains underdeveloped in the scholarly literature, and heterogeneity between surveys reduces the ability to compare observations across space and time. The NHCS may address some of these issues, suitable as an “off the shelf” template, adjustable to suit programmatic needs, and providing a baseline consistency across space and time.