Questionnaire Text

Questionnaire form view entire document: text image

3. When did PERSON 1 (listed on page 2) move into this house, apartment, or mobile home?

Month [ ][ ]
Year [ ][ ][ ][ ]

[A] - Answer questions 4-6 ONLY if this is a HOUSE OR A MOBILE HOME; otherwise, SKIP to question 7a.

Questionnaire instructions view entire document: text image

3. Enter the month and year that Person 1 listed on page 2 last moved into this house, apartment, or mobile home.