Survey Text

1984
top
1984
Survey form view entire document:  text  image
b. Mark box if only one reason. If "Not covered 65 and over," in P1, include "or Medicare."
What is the MAIN reason -- is not covered by any health insurance (or Medicare)?

1
2
3
4
5
6
7
8 ___Specify

10a. Does anyone in this family now receive the "Supplemental Security Income" of "SSI" gold-colored check?

[] Yes
[] No (11)
[] DK

b. Does -- now receive this check?

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