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.

7. Does this house, apartment, or mobile home have:

d. A sink with a faucet?

[] Yes
[] No

Questionnaire instructions view entire document: text image

Housing questions 4-17

H7.c. Mark "yes" to "sink with a faucet" if the sink is inside the house apartment or mobile home and the water can be turned on and off with a faucet.