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.

8. Does this house, apartment, or mobile home have

a) hot and cold running water?
[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Answer questions 1 through 21 for the house, apartment, or mobile home at the address on the mailing label.

8a. Mark "Yes" to "hot and cold running water" even if the unit has hot water only part of the time.