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 --

e. a stove or range?

[] Yes
[] No

Questionnaire instructions view entire document: text image

Housing questions 4-17

H7.d. Mark "Yes" to "a stove or range" if the stove or range is inside the house, apartment or mobile home. Portable cooking equipment is not considered a stove or range.