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:

a. Running water?

[] Yes
[] No

Questionnaire instructions view entire document: text image

Housing questions 4-17

H7.a. Mark "yes" to "hot and cold running water" even if the unit has hot water only part of the time.