Questionnaire Text

Questionnaire form view entire document: text image

[Questions 33-34 are asked if the person last worked, even for a few days, within the past 12 months.]

33. During the past 12 months, how many weeks did this person work?

Count paid vacation, paid sick leave, and military service.
Weeks ____

Questionnaire instructions view entire document: text image

[Housing Question 17-42 should be asked only of individuals 15 and older.]

33. Refer to the instructions for question 23 to determine what [professions] count as work. Include paid vacation, paid sick leave, and military service. Count every week in which the person worked at all, even if for an hour.