Questionnaire Text

Questionnaire form view entire document: text image

41. Was this person... Mark (X) ONE box

[ ] an employee of a PRIVATE FOR PROFIT company or business, or of an individual, for wages, salary, or commissions?
[ ] an employee of a PRIVATE NOT FOR PROFIT, tax-exempt, or charitable organization?
[ ] a local GOVERNMENT employee (city, county, etc.)?
[ ] a state GOVERNMENT employee?
[ ] a Federal GOVERNMENT employee?
[ ] SELF-EMPLOYED in own NOT INCORPORATED business, professional practice, or farm?
[ ] SELF-EMPLOYED in own INCORPORATED business, professional practice, or farm?
[ ] working WITHOUT PAY in family business or farm?

Questionnaire instructions view entire document: text image

43. Describe the business, industry, or individual employer named in question 42. If there is more than one activity, describe only the major activity at the place where the person worked. Describe what is made, what is sold, or what service is given.
Enter descriptions like the following: newspaper publishing, mail order house, auto engine manufacturing.