Questionnaire Text

Questionnaire form view entire document:  text  image

16. Enumerator - Mark when this person was born.
[] Born before April 1965 -- Ask questions 17 - 33. (Omit question 17 if born between April 1960 and March 1965.)
[] Born April 1965 or later -- Turn to next page for next person

[Questions 17 through 33 asked of persons aged 15 and above.]


33. What was ____ total income in 1979?

Add entries in questions 32a through 32g; subtract losses. If total amount was a loss, write "Loss" above amount.

$ ____ .00 (Annual amount -- Dollars)

or
[] None