SAMPLE SEQUENCE NUMBER
CATALOG NUMBER
DATA USER WORK AREA
(SEE DETAILED NOTES) SIZE OF PLACE
(SEE DETAILED NOTES) SMASA-NOT SMSA
Q7 TYPE OF LIVING QUARTERS
Q9 LAND USAGE
Q11 A IF RURAL, ASKED DOES THIS PLAC ...
Q11B IF 10 ACRES OR MORE, ASKED IF I ...
Q11C IF LESS THAN 10 ACRES, ASKED IF ...
TOTAL NUMBER OF PERSONS IN HOUSEHOLD
TOTAL NUMBER OF SAMPLE PERSONS IN FAMILY
FAMILY RELATIONSHIP
EXAMINATION STATUS
FAMILY UNIT SEQUENCE NUMBER (SEE DET ...
Q3 AGE MONTHS (AT INTERVIEW)
Q3 A-YEARS (AT INTERVIEW)
DATE-OF-BIRTH-MONTH
DATE-OF-BIRTH-YEAR
Q4 SEX
Q5 (SEE DETAILED NOTES)
Q6 (SEE DETAILED NOTES) IN WHAT STAT ...
Q7 IS HE/SHE MARRIED, WIDOWED, DIVOR ...
Q8 NATURAL ORIGIN OR ANCESTRY
Q9A HIGHEST GRADE OF SCHOOL ATTENDED
Q9B GRADE COMPLETED
Q10A WHAT WAS HE/SHE DOING DURING MO ...
Q10B WHAT WAS HE/SHE DOING?
Q10C DID HE/SHE WORK AT A JOB OR BUS ...
Q10D DID HE/SHE WORK FULL OR PART TI ...
Q11A WAS HE/SHE WORKING WITHIN LAST ...
Q11B EVEN THOUGH HE/SHE DID NOT WORK ...
Q11C WAS HE/SHE LOOKING FOR WORK OR ...
Q11D WHICH LOOKING FOR WORK OR ON LA ...
Q12B (SEE DETAILED NOTES) WHAT KIND ...
Q12C (SEE DETAILED NOTES) WHAT KIND ...
Q12E WAS HE/SHE IN PRIVATE COMPANY O ...
Q14A DID HE/SHE EVER SERVE IN THE AR ...
Q13B WHEN DID HE/SHE SERVE?
Q14A HOW MANY ROOMS ARE IN THIS? COU ...
Q14B HOW MANY BEDROOMS ARE IN THE -?
Q14C ASK ONLY OF UNRELATED HOUSEHOLD ...
Q15A DO YOU HAVE ACCESS TO COMPLETE ...
Q15B DO YOU HAVE ACCESS TO A RANGE O ...
Q15B DO YOU HAVE ACCESS TO A REFRIG ...
Q15B DO YOU HAVE ACCESS TO A SINK WI ...
Q15C IS THERE PIPED WATER IN THIS HO ...
Q15D IS THERE BOTH HOT AND COLD WATER?
Q15E ARE THESE KITCHEN FACILITIES US ...
Q16 WHAT IS THE MAIN TYPE OF HEATING ...
Q17 DO YOU HAVE AIR CONDITIONING?
Q18 HOW MANY MOTOR VEHICLES ARE OWNE ...
Q19A IS ANY LANGUAGE OTHER THAN ENGL ...
Q19B WHAT LANGUAGE
Q20 (SEE DETAILED NOTES) WHICH OF TH ...
DURING THE PAST 12 MONTHS, HOW MUCH ...
Q22A SOCIAL SECURITY OR RAILROAD RET ...
IF YES, HOW MUCH?
Q22B WELFARE PAYMENTS OR OTHER PUBLI ...
UNEMPLOYMENT COMPENSATION OR WORKMEN ...
Q22D GOVERNMENT EMPLOYEE PENSION OR ...
Q22E DIVIDENDS, INTEREST OR RENT?
Q22F NET INCOME FROM THEIR OWN BUSIN ...
Q22G NET INCOME FROM A FARM?
Q22H VETERANS PAYMENTS?
Q22I ALIMONY, CHILD SUPPORT OR OTHER ...
Q22J ANY OTHER INCOME?
TOTAL AMOUNT (Q21 &22)
CHECK ITEM B
Q23A ARE YOU CERTIFIED TO PARTICIPAT ...
Q23B ARE YOU BUYING FOOD STAMPS NOW?
Q23C WHAT IS THE MAIN REASON YOU ARE ...
Q24A ARE YOU CERTIFIED FOR COMMODITY ...
Q24B ARE YOU RECEIVING COMMODITY FOO ...
Q24BC WHY AREN'T YOU PARTICIPATING I ...
(CONTROL RECORD) DATE OF EXAM MONTH
(CONTROL RECORD) DATE OF EXAM DAY
(CONTROL RECORD)DATE OF EXAM YEAR
AGE YEARS (AT EXAMINATION)
RACE SEX RECODE FOR SAMPLE PERSON(SE ...
(SEE DETAILED NOTES) FARM, NON-FARM ...
INTERVIEW STATUS
(SEE DETAILED NOTES) REGION
(SEE DETAILED NOTES) POVERTY INDEX(X.XX)
Q3 AGE YEAR
Q5 RACE SEX (SEE DETAILED NOTES)
Q9 HIGHEST GRADE ATTENDED
Q10 WHAT WAS HE/SHE DOING MOST OF TH ...
Q13A DID HE/SHE EVER SERVE IN THE AR ...
EXAMINED FINAL WEIGHT
MEDICAL HISTORY INTERVIEW FINAL WEIGHT
GLUCOSE TOLERANCE TEST FINAL EXAMINE ...
LEAD FINAL EXAMINED WEIGHT
CARBOXHEMOGLOBIN FINAL EXAMINED WEIGHT
BILE ACIDS FINAL EXAMINED WEIGHT
STRATA
PSEUDO PRIMARY SAMPLING UNIT
POVERTY NON-POVERTY SEGMENTS (SEE DE ...
CATALOG NUMBEER:5020
WOULD YOU SAY YOUR HEALTH IN GENERAL ...
DO YOU NOW HAVE ANY HEALTH PROBLEMS ...
ARE YOU TAKING ANY MEDICINE REGULARL ...
DURING THE PAST 12 MONTHS, HOW MANY ...
FOR WHAT CONDITION(S) WERE YOU IN TH ...
THE SECOND TIME
THE THIRD TIME
HOW LONG WERE YOU IN THE HOSPITAL? T ...
HAVE YOU EVER LIVED IN A HOUSEHOLD W ...
DO YOU HAVE AN ILLNESS OR CONDITION ...
WHAT IS THE ILLNESS OR CONDITION? FI ...
SECOND CONDITION
THIRD CONDITION
FOURTH CONDITION
DO YOU HAVE TROUBLE BITING OR CHEWIN ...
DO YOU AVOID EATING ANY OF THE FOLLO ...
FATS OR FRIED FOODS?
SEAFOOD?
ANY OTHER FOODS?
HAS A DOCTOR EVER TOLD YOU THAT YOU ...
HOW MANY YEARS AGO DID YOU FIRST HAV ...
GOUT?
CHRONIC BRONCHITIS? STILL HAVE IT?
TUBERCULOSIS? STILL HAVE IT?
HAS A DOCTOR TOLD YOU THAT YOU HAD - ...
HOW MANY YEAR AGO DID YOU FIRST HAVE ...
HEART ATTACK?
A PEPTIC, STOMACH, OR DUODENAL ULCER?
HOW MAY YEARS AGO DID YOU FIRST HAVE ...
HAS THE DOCTOR EVER TOLD YOU THAT YO ...
HAS A DOCTOR EVER TOLD YOU THAT HAD ...
HAS DOCTOR EVER TOLD YOU THAT YOU HA ...
NERVOUS BREAKDOWN?
HOW MANY YEARS AGO DID YOU FIRST HA ...
HAVE YOU EVER HAD ANEMIA, SOMETIMES ...
DID A DOCTOR EVER TELL YOU THAT YOU ...
POOR DIET?
WAS THE ANEMIA CAUSED BY : CHILDBIRTH?
LOSS OF BLOOD DUE TO AN ACCIDENT OR ...
ILLNESS?
WAS THE ANEMIA CAUSED BY : SURGERY?
ANY OTHER CAUSE?
WERE YOU TREATED FOR THIS CONDITION ...
WAS THE TREATMENT YOU USED - BETTER ...
IRON PILLS?
IRON SHOTS?
WAS THE TREATMENT YOU USED - VITAMIN ...
VITAMIN PILLS?
BLOOD TRANSFUSIONS?
WAS THE TREATMENT YOU USED - ANY OTH ...
ARE YOU STILL BEING TREATED FOR THIS ...
DO YOU EAT CLAY, STARCH OR ANY MATER ...
WHICH - CLAY?
STARCH?
WHICH - SOME OTHER MATERIAL?
ARE YOU ON A SPECIAL DIET?
WAS THIS DIET ORDERED BY A DOCTOR?
CHECK ITEM A
HAVE YOU SMOKED AT LEAST 100 CIGARET ...
DO YOU SMOKE CIGARETTES NOW?
ON THE AVERAGE, HOW MANY A DAY DO YO ...
HOW LONG HAS IT BEEN SINCE YOU SMOKE ...
ON THE AVERAGE, HOW MANY CIGARETTES ...
DURING THE PERIOD WHEN YOU WERE SMOK ...
ABOUT HOW OLD WERE YOU WHEN YOU FIRS ...
DO YOU SMOKE CIGARS NOW?
ABOUT HOW MANY CIGARS A DAY DO YOU S ...
DO YOU SMOKE A PIPE NOW?
ABOUT HOW MANY PIPEFULS OF TOBACCO A ...
DO YOU DRINK COFFEE?
ON THE AVERAGE, HOW MANY CUPS OR GLA ...
DO YOU USUALLY DRINK DECAFFEINATED C ...
WERE YOU EVER ADVISED BY A DOCTOR TO ...
HAVE YOU EVER BEEN ADVISED BY A DOCT ...
DO YOU DRINK TEA?
DURING THE PAST 6 MONTHS, DID YOU US ...
ON THE AVERAGE, DO YOU USE THESE PIL ...
IN THE THINGS YOU DO FOR RECREATION, ...
IN YOUR USUAL DAY, ASIDE FROM RECREA ...
WHAT IS THE MOST THAT YOU HAVE EVER ...
HOW OLD WERE YOU THEN?
WHAT IS THE LEAST YOU HAVE WEIGHED S ...
CHECK ITEM C
ABOUT HOW MUCH DID YOU WEIGH WHEN YO ...
CHECK ITEM D
HOW MANY LIVING CHILDREN DO YOU HAVE?
CHECK ITEM E
HOW MANY CHILDREN HAVE YOU EVER HAD?
HOW MANY OF THESE CHILDREN WEIGHED 9 ...
ABOUT HOW TALL ARE YOU WITHOUT SHOES ...
INCHES
ABOUT HOW MUCH DO YOU WEIGH WITHOUT ...
DURING THE PAST 6 MONTHS, HAVE YOU L ...
ABOUT HOW MUCH WEIGHT HAVE YOU LOST?
DO YOU HAVE ANY REASON TO THINK THAT ...
HAVE YOU EVER HAD A TEST TO SEE WHET ...
DO YOU HAVE SERIOUS TROUBLE SEEING W ...
LEFT EYE?
RIGHT EYE
WAS YOUR EYE CONDITION THE RESULT OF ...
DO YOU HAVE DIABETES OR SUGAR DIABETES?
DID A DOCTOR TELL YOU THAT YOU HAD IT?
HOW MANY LIVING BROTHERS AND SISTERS ...
HOW MANY OF THESE BROTHERS AND SISTE ...
HOW MANY OF YOUR BROTHERS AND SISTER ...
INCLUDING THOSE LIVING AND DECEASED, ...
IS YOUR MOTHER STILL LIVING?
DOES (DID) SHE HAVE DIABETES OR SUGA ...
IS YOUR FATHER STILL LIVING?
DOES (DID) HE HAVE DIABETES OR SUGAR ...
HAVE YOU EVER BEEN TOLD BY A DOCTOR ...
POTENTIAL DIABETES?
CHECK ITEM F
ABOUT HOW OLD WERE YOU WHEN THE DOCT ...
WERE YOU A PATIENT IN THE HOSPITAL A ...
WERE YOU IN THE HOSPITAL AT THAT TIM ...
(NOT COUNTING THAT FIRST TIME) HAVE ...
HAVE YOU EVER TAKEN INSULIN INJECTIONS?
HAVE YOU TAKEN INSULIN INJECTIONS FO ...
ARE YOU NOW TAKING INSULIN INJECTIONS?
HOW MANY YEARS (HAVE YOU BEEN TAKING ...
DO YOU KNOW WHAT AN INSULIN REACTION IS?
HAVE YOU EVER HAD AN INSULIN REACTION?
HOW MANY INSULIN REACTIONS HAVE YOU ...
(INCLUDING THESE REACTIONS) ABOUT HO ...
HAVE YOU EVER TAKEN DIABETES PILLS?
HAVE YOU TAKEN THEM MOST OF THE PAS ...
ARE YOU NOW TAKING DIABETES PILLS?
HAVE YOU EVER BEEN GIVEN A WRITTEN D ...
DO YOU FOLLOW THIS DIET?
HOW MANY YEARS (HAVE YOU BEEN/WERE Y ...
DO YOU CARR OR WEAR ANYTHING WHICH I ...
WHEN DID YOU LAST SEE OR TALK TO A D ...
WEEKS
MONTHS
YEARS
DURING THE PAST 12 MONTHS DID YOUR ( ...
DURING THE PAST 12 MONTHS, ABOUT HOW ...
CHECK ITEM G
DO YOU HAVE TROUBLE WITH RECURRING P ...
HAVE YOU BEEN BOTHERED BY SUCH COUGH ...
DURING THE PAST 3 YEARS HAVE YOU HAD ...
HAVE YOU EVER SEEN A DOCTOR ABOUT A ...
HOW OLD WERE YOU WHEN YOU FIRST HAD ...
ABOUT HOW MANY WORK OR SCHOOL DAYS H ...
HAVE YOU EVER STAYED IN THE HOSPITAL ...
DURING THE PAST 12 MONTHS, HAVE YOU ...
HOW OFTEN--EVERY FEW DAYS OR LESS OFTEN?
WHEN IT DOES OCCUR, DOES IT BOTHER Y ...
HAVE YOU EVER HAD A RUNNING EAR OR A ...
HOW OFTEN HAVE YOU HAD A RUNNING EAR ...
DID YOU SEE A DOCTOR BECAUSE OF THIS ...
HOW MANY TIMES HAVE YOU HAD AN EAR I ...
FOR HOW MANY SEPARATE INFECTIONS DID ...
SHOTS OR INJECTIONS?
EARDROPS OR OTHER EXTERNAL APPLICATIONS?
DID A DOCTOR EVER TREAT AN EAR INFEC ...
HAVE YOU EVER HAD DEAFNESS OR TROUBL ...
DID YOU EVER SEE A DOCTOR ABOUT IT?
HOW OLD WERE YOU WHEN YOU FIRST HAVI ...
SINCE THIS TROUBLE BEGAN, HAS IT GOT ...
WAS YOUR HEARING TROUBLE OR DEAFNESS ...
A LOUD NOISE SUCH AS THAT FROM MACHI ...
EAR SURGERY?
WERE YOU BORN WITH IT?
SOME OTHER CAUSE?
HOW WOULD YOU RATE YOUR HEARING IN Y ...
HAVE YOU EVER HAD AN OPERATION ON YO ...
WAS IT--AN OPERATION ON THE STAPES, ...
A MASTIODECTOMY?
WAS IT--SOME OTHER OPERATION?
HAVE YOU EVER HAD YOUR HEARING TESTED?
HOW OLD WERE YOU WHEN YOUR HEARING W ...
WAS YOUR HEARING NORMAL?
HAVE YOU EVER USED A HEARING AID?
WHICH EAR?
DO YOU NOW USE A HEARING AID?
CHECK ITEM H
HAVE YOU EVER WORKED AT A JOB WHERE ...
DID THE DOCTOR SAY THE CONDITION WAS ...
DID TTHE DOCTOR SAY THE CONDITION WA ...
HAS A DOCTOR EVER TREATED THE LIVER ...
ANY OTHER SURGERY?
MEDICATION?
BEDREST?
SOME OTHER WAY?
ARE YOU NOW BEING TREATED BY A DOCTO ...
HAVE YOU EVER HAD TROUBLE WITH PERSI ...
WAS THERE A RASH ALONG WITH THE ITCHING?
HAVE YOU EVER LOST YOUR APPETITE FOR ...
DO YOU HAVE THE PROBLEM NOW?
HAVE YOU EVER HAD ANY KIDNEY, BLADDE ...
HAVE YOU EVER HAD KIDNEY STONES?
HAVE YOU EVER PASSED A STONE?
HAVE YOU EVER HAD ANY OF THE FOLLOWI ...
SURGERY?
ANY OTHER TREATMENT?
HAVE YOU EVER HAD ANY INFECTIONS OF ...
ABOUT HOW MANY TIMES HAVE YOU HAD AN ...
ABOUT HOW MANY TIMES DID THE INFECTI ...
BLADDER?
DID YOU HAVE FEVER CHILLS WITH ANY O ...
FOR HOW MANY OF THE INFECTIONS DID Y ...
HAVE YOU EVER SEEN A DOCTOR FOR ANY ...
WAS THE DOCTOR--A GENERAL PRACTITIONER?
WAS THE DOCTOR--AN INTERNIST?
A UROLOGIST?
A NEPHROLOGIST?
SOME OTHER TYPE?
DID A DOCTOR EVER TELL YOU THE AT YO ...
HOW MANY YEARS AGO DID NEPHRITIS BEGIN?
HOW MANY YEARS AGO DID THE RENAL SCL ...
KIDNEY STONES OR STONES IN THE URETE ...
NEPHROSIS? STILL HAVE IT?
HOW MANY YEARS AGO DID THE KIDNEY AB ...
HYDRONEPHROSIS? STILL HAVE IT?
HOW MAY YEARS AGO DID THE HYDORNEPHR ...
HOW MANY YEARS AGO DID THE ENLARGED ...
HOW MANY YEARS AGO DID THE BLADDER S ...
HOW MANY YEARS AGO DID THE KIDNEY IN ...
HOW MANY YEARS AGO DID THE BLADDER I ...
HOW MANY YEARS AGO DID THE URINARY T ...
HOW MANY YEARS AGO DID THE OTHER CON ...
HAVE YOU EVER HAD ANY SPECIAL Z-RAYS ...
HAVE YOU EVER BEEN HOSPITALIZED OVER ...
WHEN WAS THE LAST TIME YOU SAW A DOC ...
DID THE TREATMENT FOR A KIDNEY, BLAD ...
STEROIDS SUCH AS CORTISONE AND PREDN ...
ANTIBIOTICS?
MEDICINES TO REDUCE BLOOD PRESSURE?
HAVE YOU HAD ANY TROUBLE WITH THE PA ...
WAS THE PAIN LOCATED IN--YOU RIGHT S ...
YOUR LEFT SIDE AND BACK?
BOTH SIDES AND BACK?
WAS THE PAIN LOCATED IN--THE AREA OV ...
YOUR LOW ABDOMEN?
ABOUT HOW MANY TIMES HAVE YOU HAD TH ...
HAS YOUR MOTHER, FATHER, SISTERS, OR ...
BOTH CHRONIC NEPHRITIS AND NERVE DEA ...
HIGH BLOOD PRESSURE?
IF YES, HOW MANY SEPARATE TIMES DID ...
WHEN DID IT LAST HAPPEN?
HAVE YOU EVEN HAD SKIN TESTS FOR ALL ...
DID YOU EVER HAVE A POSITIVE SKIN RE ...
GRASS?
HOUSE DUST?
MOLDS?
FOODS?
HAVE YOU EVER HAD ALLERGY SHOTS?
HAVE YOU EVER HAD ANY REACTION TO AN ...
HAYFEVER? STILL HAVE IT?
AN EAR, NOSE, AND THROAT SPECIALIST?
AN ALLERGIST?
DURING THE PAS 12 MONTHS, NOT COUNTI ...
STUFFY NOSE?
ITCHY NOSE?
DURING THE PAST 12 MONTHS, NOT COUNT ...
POST-NASAL DRIP?
WATER, ITCHY EYES?
DURING THE PAST 12 MONTHS NOT COUNTI ...
SINUS INFECTIONS?
CHECK ITEM I
BECAUSE OF THE (ALLERGIES/SYMPTOM) Y ...
MOVED TO A DIFFERENT LOCATION?
INSTALLED AIR-CONDITIONING, A HUMIDI ...
TRIED TO KEEP AWAY FROM THE THINGS T ...
IF AGE 17+--CHANGED JOBS?
DO THESE (ALLERGIES/SYMPTOMS) YOU ME ...
DO THESE (ALLERGIES/SYMPTOMS/SYMPTOM ...
FALL UNTIL FROST?
FALL AFTER FROST?
DO THERE (ALLERGIES/SYMPTOMS) YOU ME ...
OUTDOORS?
DO THE ALLERGIES/SYMPTOMS) YOU MENTI ...
DO THE (ALLERGIES/SYMPTOMS) YOU MENT ...
DO THE (ALLERGIES/SYMPTOMS) BOTHER Y ...
TREES?
HOW OLD WERE YOU WHEN YOU FIRST BEGA ...
ARE THERE ANY THINGS OR PLACES WHICH ...
HAVE YOU EVER HAD A - ? IF YES, DO Y ...
CAT FOR A PET?
ANOTHER NAME FOR HIGH BLOOD PRESSURE ...
ABOUT HOW LONG AGO WERE YOU FIRST TO ...
YEARS?
DURING THE LAST 12 MONTHS, ABOUT HOW ...
HAS A DOCTOR EVER ADVISED YOU TO LOS ...
HAS A DOCTOR EVER PRESCRIBED MEDICIN ...
ARE YOU NOW TAKING ANY MEDICINE PRES ...
HOW OFTEN ARE YOU SUPPOSED TO TAKE T ...
HOW OFTEN DO YOU TAKE YOUR MEDICINE ...
ABOUT HOW MANY DAYS DURING THE PAST ...
DURING THE PAST 12 MONTHS, HOW MAY T ...
CHECK ITEM J
HAVE YOU EVER HAD ANY TROUBLE WITH P ...
HAVE YOU EVER HAD SEVERE PAIN ACROSS ...
HOW MANY OF THESE ATTACKS HAVE YOU HAD?
ARE YOU TAKING ANY MEDICATION TO STR ...
HAVE YOU EVER HAD SHORTNESS OF BREAT ...
HAVE YOU HAD PROBLEM FOR AT LEAST 90 ...
HAVE YOU EVER HAD--LOSS OF VISION OR ...
DIFFICULTY IN SPEAKING OR SLURRED SP ...
LOSS OF SENSATION, NUMBNESS OR TINGL ...
HAVE YOU EVER HAD--A SEVERE HEAD INJ ...
PROLONGED WEAKNESS OR PARALYSIS OF O ...
HAVE YOU EVER HAD A STROKE?
DID A DOCTOR TELL YOU THIS?
HOW MANY STROKES HAVE YOU HAD?
HOW LONG AGO DID YOU HAVE THE (FIRST ...
HOW LONG AGO DID YOU HAVE THE LAST S ...
WHEN YOU HAD YOUR STROKE(S) DID YOU ...
PARALYSIS OF THE ARM OR LEG? STILL H ...
NUMBNESS OF THE ARM OR LEG? STILL HA ...
CHANGE IN SPEECH? STILL HAVE IT?
ANY OTHER SYMPTOMS? STILL HAVE IT?
HAVE YOU EVER HAD PAIN IN YOUR BACK ...
HAVE YOU EVER HAD PAIN IN YOUR NECK ...
HAVE YOU EVER HAD PAIN OR ACHING IN ...
HAVE YOU EVER HAD ANY SWELLING OF JO ...
HAVE YOU HAD STIFFNESS IN YOUR JOINT ...
HAVE YOU EVER CHANGED YOUR JOB OR ST ...
DID YOU--RETIRE BECAUSE OF DISABILITY?
CHANGE PERMANENTLY TO AN EASIER JOB?
CHANGE TEMPORARILY TO AN EASIER JOB?
DID YOU--CUT DOWN TO PART-TIME WORK ...
HAVE TO STOP WORKING FOR A FEW MONTHS?
HAVE TO CUT DOWN HOUSEWORK?
DID YOU--STOP DOING ANY HOUSEWORK?
MAKE SOME OTHER CHANGES?
CHECK ITEM K
IS--ATTENDING SCHOOL NOW?
IS THERE A SCHOOL LUNCH PROGRAM AT T ...
HOW MANY TIMES A WEEK DOES HE USUALL ...
HOW MUCH DOES HE PAY FOR HIS LUNCH P ...
IS THERE A SPECIAL MILK PROGRAM AT T ...
HOW MUCH DOES HE PAY FOR HIS MILK PE ...
IS THERE A SCHOOL BREAKFAST PROGRAM ...
HOW MUCH DOES HE PAY FOR HIS BREAKFA ...
DO YOU PARTICIPATE IN ANY PROGRAM IN ...
ARE PREPARED MEALS OR GROCERIES DELI ...
IS THE SPONSOR OF THE PROGRAM--A LOC ...
ANOTHER DEPARTMENT OF YOUR LOCAL GOV ...
A STATE GOVERNMENT?
IS THE SPONSOR OF THE PROGRAM--A CHU ...
SOME OTHER VOLUNTARY ORGANIZATION?
ABOUT HOW OFTEN IS THE FOOD BROUGHT ...
DO YOU PARTICIPATE IN ANY PROGRAM ON ...
ABOUT HOW OFTEN DO YOU GO OUT FOR TH ...
RESPONDENT
DUMMY RECORD FLAG