[p. 178]
Section E -- ENVIRONMENTAL HEALTH
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[] 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
Days per week (Number) ____
9[] DK
3. Was your home built before 1950?
1[] Yes (4)
2[] No (5)
9[] DK (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
2[] No
9[] DK