Section E -- ENVIRONMENTAL HEALTH
These next questions are about this home.
1. Does anyone smoke cigarettes, cigars, or pipes anywhere inside this home?
2 No (3)
9 DK (3)
2. On the average, about how many days per week is there smoking anywhere inside this home?
Days per week (Number) ____
3. Was your home built before 1950?
2 No (5)
9 DK (4)
4. Has paint from this home ever been analyzed for lead content?
Read if necessary:
This can be done by sending paint chips to a laboratory for testing, having a measurement by an x-ray fluorescence or XRF machine or having a chemical spot test on the wall.