Questionnaire Text

Questionnaire form view entire document: text image

60. Does your household receive any type of food basket?

[] 1 Yes
[] 2 No

(If answered yes) What type of basket and how many of each one, per month?

[] 1 Regular (INDA [national feeding institute]) _ _
[] 2 Low weight (nutritional risk) _ _
[] 3 Lead _ _
[] 4 Pensioner _ _
[] 5 Diabetes _ _
[] 6 Kidney _ _
[] 7 Kidney-diabetes _ _
[] 8 Celiac _ _
[] 9 Tuberculosis _ _
[] 10 Cancer _ _
[] 11 Aids (HIV+) _ _
[] 12 Other (specify): ________ _ _

Questionnaire instructions view entire document: text image

61. Are you currently enrolled in any housing public credit or aid program?

If the person indicates "Yes", you must indicate the name of the program. In the case of the people who are "registered" in the BHU but have already obtained their credit or help, that's to say they are paying for the help, but are not demanding new help, "No" will be indicated.