Questionnaire Text

Questionnaire form view entire document:  text  image
[Questions 4-6 were asked of households living in independent houses and mobile homes.]

6. Is there a business (such as a store or barber shop) or a medical office on this property?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Answer questions 1 through 21 for the house, apartment, or mobile home at the address on the mailing label.

6. Complete this question only if you live in a one-family house or mobile home. A business, such as a grocery store or barber shop, is easily recognized from the outside and usually has a separate entrance. A medical office is a doctor's or dentist's office regularly visited by patients.