Questionnaire Text

Questionnaire form view entire document:  text  image
18. a) What is the monthly rent for this house, apartment, or mobile home?

Monthly amount - Dollars

$_________________.00

b) Does this monthly rent include any meals?

[ ] Yes
[ ] No

[C] - Answer questions 19-23 ONLY IF you or someone else in this household OWNS or IS BUYING this house, apartment, or mobile home. Otherwise, SKIP to [E] on the next page.

Questionnaire instructions view entire document:  text  image
18b.If meals are included in the monthly rent payment, or you must contract for meals or a meal plan in order to live in this house, apartment, or mobile home, mark the "Yes" box.