Questionnaire Text

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How many people are living or staying at this address?
- Include everyone who is living or staying here for more than 2 months.
- Include yourself if you are living here for more than 2 months.
- Include anyone else staying here who does not have another place to stay, even if they are here for 2 months or less.
- Do not include anyone who is living somewhere else for more than 2 months, such as a college student living away or someone in the Armed Forces on deployment.
Number of people _ _
Fill out pages 2, 3, and 4 for everyone, including yourself, who is living or staying at this address for more than 2 months. Then complete the rest of the form.

2. How is this person related to person 1?

[x] Person 1

2. How is this person related to person 1?

[] Husband or wife
[] Biological son or daughter
[] Adopted son or daughter
[] Stepson or stepdaughter
[] Brother or sister
[] Father or mother
[] Grandchild
[] Parent-in-law
[] Son-in-law or daughter-in-law
[] Other relative
[] Roomer or boarder
[] Housemate or roommate
[] Unmarried partner
[] Foster child
[] Other nonrelative