Questionnaire Text

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1. What is the name of each person who was living here on Tuesday, April 1, 1980, or who was staying or visiting here and had no other home?

List in Question 1

Family members living here, including babies still in the hospital
Relatives living here
Lodgers or boarders living here
Other persons living here
College students who stay here while attending college, even if their parents live elsewhere
Persons who usually live here but are temporarily away (including children in boarding school below the college level)
Persons with a home elsewhere but who stay here most of the week while working
Do not list in Question 1

Any person away from here in the Armed Forces
Any college student who stays somewhere else while attending college.
Any person who usually stays somewhere else most of the week while working there.
Any person away from here in an institution such as a home for the aged or mental hospital.
Any person staying or visiting here who has a usual home elsewhere.

Last name

________________________________
First name Middle initial

________________________________

"List in question 1 ... the names of all the people who usually live here. Then turn to pages 2 and 3 where there are columns to list up to seven persons. In the first column print the name of one of the household members in whose name this home is owned or rented. If no household member owns or rents the living quarters, list in the first column any adult household member who is not a roomer, boarder, or paid employee. Print the names of the other household members, if any, in the columns which follow, using question 1 as a checklist."