Survey Text

1980
1979
top
1980
Survey form view entire document:  text  image
2a. Because of a disability or health problem, does anyone in the family receive or need help from another person in -
If "Yes," ask 2b and c.

b. Who is this?

c. Does anyone else receive or need help in --?

(1) Preparing their own meals?
[] Y
[] N
(2) Shopping for personal items, such as magazines, toilet items or medicines?
[] Y
[] N
(3) Doing routing household chores, not including yard work?
[] Y
[] N
(4) Handling their own money?
[] Y
[] N

2b.

1 [] Meals
2 [] Shopping
3 [] Chores
4 [] Handling money
(Mark H box)

top
1979
Survey form view entire document:  text  image
2 a. Because of a disability or health problem, does anyone in the family receive or need help from another person in -
If "Yes," ask 2b and c.

(1) Preparing their own meals?
[] Y
[] N
(2) Shopping for personal items, such as magazines, toilet items, or medicines?
[] Y
[] N
(3) Doing routine household chores, not including yard work?
[] Y
[] N
(4) Handling their own money?
[] Y
[] N

b. Who is this?

____

c. Does anyone else receive or need help in - ?

____
1 [] Meals (Mark H box)
2 [] Shopping (Mark H box)
3 [] Chores (Mark H box)
4 [] Handling money (Mark H box)