Questionnaire Text

Questionnaire form view entire document: text image

8. Does this house, apartment, or mobile home have --

a) hot and cold running water?

[ ] Yes
[ ] No

c) a bathtub or shower?

[ ] Yes
[ ] No

Questionnaire instructions view entire document: text image

8a. Mark "Yes" to "hot and cold running water" even if the unit has hot water only part of the time.