Survey Text

Survey form view entire document:  text  image
Read to respondent:
These questions are about your present job.
1a. In your present job, are you exposed to any SUBSTANCES that could endanger your health, such as chemicals, dusts, fumes, or gases?

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

b. What substances are you exposed to that could endanger your health? ____
Any other? ____

Enter each substance in a separate column.

Ask 1c for each response in 1b

c. How can (response in 1b) endanger your health? ________
Any other way? ____

Record verbatim response(s).

99 [] DK