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[p. 178]


These next questions are about this home.

1. Does anyone smoke cigarettes, cigars, or pipes anywhere inside this home?

1[] Yes
2[] No (3)
9[] DK (3)

2. On the average, about how many days per week is there smoking anywhere inside this home?

0[] Less than 1 day per week/Rarely
Days per week (Number) ____
9[] DK

3. Was your home built before 1950?

1[] Yes (4)
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.

1[] Yes
2[] No
9[] DK