Questionnaire Text

Questionnaire form view entire document:  text  image
4. If you usually live here, write 'here'. If not, write your usual address. ________

If you are a boarder, write 'here' only if you consider this your usual address.

If you are a student or school child who is away from home during term time, give your home address.

If you have no settled address, write 'none'.

Block capitals please.

5. What is your position in this establishment? ________

For example write 'guest', 'patient', 'staff', 'student', 'boarder', 'crew', 'passenger'.

B5. Write 'head' for the head of the household and relationship to the head for each of the other persons: for example 'wife', 'son', 'daughter-in-law', 'visitor', 'boarder', 'paying guest'. ____