Questionnaire Text

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30. At what location did this person work LAST WEEK? If this person worked at more than one location, print where he or she worked most last week

a) Address (Number and street name)_________________________________

If the exact address is not known, give a description of the location such as the building name or the nearest street or intersection.
b) Name of city, town, or post office _________________________________
c) Is the work location inside the limits of that city or town?
[ ] Yes
[ ] No, outside the city/town limits
d) Name of county _________________________________
e) Name of U.S. state or foreign country _________________________________
f) ZIP Code
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