Survey Text

1980
1979
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1980
Survey form view entire document:  text  image
Complete 1a and b from household composition items, if not clear, ask:
1a. Is -- related to any persons now living in this household?
[] 1 Y
[] 2 N (2)

b. Is -- now living with --'s:

Mark all that apply:

1 [] Brother/sister
3 [] Parent
4 [] Spouse
7 [] Son/daughter
0 [] None of the above

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1979
Survey form view entire document:  text  image
Complete 1a and b from household composition items, if not clear, ask:

1 a. Is -- related to any persons now living in this household?

1 [] Y
2 [] N (2)

b. Is -- now living with --'s:

(1) Brother or sister?
(3) Father or mother?
(5) (Husband/wife)?
(7) Son or daughter?
Mark all that apply
1 [] Sibling
3 [] Parent
5 [] Spouse
7 [] Child
0 [] None of the above