Questionnaire Text

2007 ACS
2006 ACS
2005 ACS
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2007 ACS
Questionnaire form view entire document:  text  image

15. At any time DURING THE PAST 12 MONTHS, did anyone in this household receive Food Stamps?

[ ] Yes -> What was the value of the Food Stamps received during the past 12 months?

Past 12 month's value - Dollars

$________________.00
[ ] No


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2006 ACS
Questionnaire form view entire document:  text  image

15. At any time DURING THE PAST 12 MONTHS, did anyone in this household receive Food Stamps?

[ ] Yes -> What was the value of the Food Stamps received during the past 12 months?

Past 12 month's value - Dollars

$________________.00
[ ] No


top
2005 ACS
Questionnaire form view entire document:  text  image

15. At any time DURING THE PAST 12 MONTHS, did anyone in this household receive Food Stamps?

[ ] Yes -> What was the value of the Food Stamps received during the past 12 months?

Past 12 month's value - Dollars

$________________.00
[ ] No