Questionnaire Text

Questionnaire form view entire document:  text  image
14. IN THE PAST 12 MONTHS, did you or any member of this household receive benefits from the Food Stamp Program or SNAP (the Supplemental Nutrition Assistance Program)?
Do NOT include WIC, the School Lunch Program, or assistance from food banks.
[ ] 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.