Questionnaire Text

Questionnaire form view entire document:  text  image
12. IN THE PAST 12 MONTHS, did anyone in this household receive Food Stamps or a Food Stamp benefit card?
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image
12.On October 1, 2008, the federal Food Stamp Program was renamed SNAP (Supplemental Nutrition Assistance Program). Some states may have their own specific name for this program. If you received benefits from the government to buy food for your family using a benefit card, mark the "Yes" box.