Questionnaire Text

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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.]


32. Income in 1979 --

During the entire year 1979, did ____receive any income from the following sources?

If "Yes" to any of the sources below, ask "How much?" If net income in 32b, 32c or 32d was a loss, write "Loss" above the dollar amount.


32f. Public assistance or public welfare payments

[] Yes --

$ ____ .00 (Annual amount -- Dollars)

[] No