Questionnaire Text

Questionnaire form view entire document:  text  image
15.
a) Did this person live in this house or apartment 1 year ago?
[ ] Person is under 1 year old -> SKIP to question 16.
[ ] Yes, this house ->SKIP to question 16
[ ] No, outside the United States and Puerto Rico - Print name of foreign country, or U.S. Virgin Islands, Guam, etc., below; then SKIP to question 16.

______________________________
[ ] No, different house in the United States or Puerto Rico