Questionnaire Text

Questionnaire form view entire document:  text  image

5. Equipment in the household
Circle one or more numbers, as appropriate:


A) Does the household have any of the following domestic appliances?

[] 1 Radio
[] 2 Black and white television
[] 3 Color television
[] 4 Stereo equipment
[] 5 Video recorder
[] 6 Washing machine
[] 7 Refrigerator
[] 8 Vacuum cleaner
[] 9 Floor polisher