Questionnaire Text

Questionnaire form view entire document: text image

Households at the selected dwelling

Household number of this household _ _
Total number of households at the selected dwelling _ _

Was this questionnaire subjected to quality control (or checks) by any Community Survey personnel other than the supervisor? Mark the appropriate box with an X.

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document: text image

Was this questionnaire subjected to quality control (or checks) by any Community Survey personnel other than the Fieldwork Supervisor?
You are not required to answer this question.