Questionnaire Text

Questionnaire form view entire document: text image

Section III. Household information

[Question 14 through 24 were asked of occupied households with present members]

Automobile or light truck

[] 1 Yes
[] 0 No

Motorcycle or motor scooter

[] 2 Yes
[] 0 No

Bicycle

[] 3 Yes
[] 0 No

Horse

[] 4 Yes
[] 0 No

Carriage, wagon, or cart

[] 5 Yes
[] 0 No

Questionnaire instructions view entire document: text image

[Question 22 is asked of occupied households with present members]

Question 22: In this household they have?

-This refers to whether the household has, or not, the electro domestic appliances and/or vehicles that appear on the list. In each option, you should necessarily mark one answer.

22. In this household they have: Yes / No

Radio
Sewing machine
Refrigerator
Television
Clothes washing machine
Air conditioner
Electric shower
Heating system
Telephone
Automobile or station wagon
Motorcycle
Bicycle
Horse
Wagon, cart, or buggy