Questionnaire Text

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Table 2: Housing characteristics
[Questions in table 2 are asked of all persons, except for the question on educational status]


Used fuel and energy

Several answers are accepted.


[] Natural gas

[] 1 Private
[] 2 Shared
[] 3 None

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Table 2: Housing characteristics
Mark the correct response number in the square or squares allotted for answering each question. The answer also must be recorded in words beside the square for the questions on dwelling type and ownership type.


Fuel and energy used
(Multiple answers are allowed)
Place sign (X) inside the square in front of each fuel/energy source used.

Fuel and energy items are: propane, natural gas, kerosene, electricity, other.