Questionnaire Text

Questionnaire form view entire document: text image

2. Relationship to the head of household
There are six boxes. Check the box which corresponds to the relationship with the head of household.

[] 1 Head of household
[] 2 Spouse or partner
[] 3 Daughter or Son
[] 4 Grandson, granddaughter
[] 5 Other relative
[] 6 Friend
[] 7 Domestic employee

Questionnaire instructions view entire document: text image

Column 2- Family Relationship to the Head of Household: The first line must correspond with the head of household. Beginning with the 2nd line, there are 5 possible choices. Check off the box corresponding to the response given.