Questionnaire Text

Questionnaire form view entire document: text image

H10 to H20 should preferably be answered by the head of the household.

H20. Do you have the following items in your living quarters?

a. Refrigerator (electric or gas)

[] Yes
[] No

Questionnaire instructions view entire document: text image

H20. Complete the "Yes" circle for each item found in your dwelling whether it belongs to you, a lodger or a relative who is a member of the household.