Questionnaire Text

Questionnaire form view entire document: text image

Housing

Please answer the following questions about the house, apartment, or mobile home at the address on the mailing label.

B. Answer questions 18a and b if this house, apartment, or mobile home is rented. Otherwise, skip to question 19.

18b. Does the monthly rent include any meals?

[] Yes
[] No

Questionnaire instructions view entire document: text image

Housing question 18

Answer question 18a and b if this house, apartment, or mobile home is rented. Otherwise, skip to question 19.

H18 b. If meals are included in the monthly rent payment, or you must contract for meals or a meal plan in order to live in this house, apartment, or mobile home, mark the "Yes" box.