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.

3. When did person 1 (listed on page 2) move into this house, apartment, or mobile home?

Month _ _
Year _ _ _ _
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.

3. Enter the month and year that Person 1 listed on page 2 last moved into this house, apartment, or mobile home.