SAMPLE SEQUENCE NUMBER
CATALOG NUMBER 4271
SIZE OF PLACE
SMSA-NOT SMSA
TYPE OF LIVING QUARTERS
LAND USAGE
IF RURAL, ASKED HOW MANY ACRES OF LA ...
IF 10 ACRES OR LESS, ASKED IF SALE O ...
AGE-HEAD OF HOUSEHOLD
SEX-HEAD OF HOUSEHOLD
HIGHEST GRADE ATTENDED-HEAD OF HOUSEHOLD
RACE-HEAD OF HOUSEHOLD
TOTAL NUMBER OF PERSONS IN HOUSEHOLD
TOTAL SAMPLE PERSONS IN HOUSEHOLD
NUMBER OF ROOMS IN HOUSE
IS THERE PIPED WATER?
IS THERE HOT AND COLD PIPED WATER?
DOES HOUSE HAVE A SINK WITH PIPED WATER?
DOES HOUSE HAVE A RANGE OR COOK STOVE?
DOES HOUSE HAVE REFRIGERATOR?
ARE KITCHEN FACILITIES USED BY ANYON ...
TOTAL FAMILY INCOME GROUP
WAGES OR SALARIES?
IF YES TO ABOVE, HOW MUCH ALTOGETHER ...
SOCIAL SECURITY OR RAILROAD RETIREMENT?
IF YES TO ABOVE, HOW MUCH ALTOGETHER?
WELFARE PAYMENTS OR OTHER PUBLIC ASS ...
UNEMPLOYMENT OR WORKMEN'S COMPENSATION?
GOVERNMENT EMPLOYEE PENSIONS OR PRIV ...
DIVIDENDS, INTEREST OR RENT?
NET INCOME FROM OWN NON-FARM BUSINES ...
NET INCOME FROM A FARM?
VETERAN'S PAYMENTS
ALIMONY, CHILD SUPPORT OR CONTRIBUTI ...
ANY OTHER INCOME?
TOTAL AMOUNT (TOTAL OF POSITIONS 37-90)
FAMILY UNIT CODE
RELATIONSHIP TO HEAD OF HOUSEHOLD
AGE AT INTERVIEW
RACE OF EXAMINED PERSON
SEX OF EXAMINED PERSON
MARITAL STATUS
DATE OF BIRTH (MONTH, YEAR)
PLACE OF BIRTH
HIGHEST GRADE OF REGULAR SCHOOL EVER ...
DID HE FINISH THE GRADE?
IS HE ATTENDING SCHOOL NOW?
HAS HE EVER ATTENDED A SCHOOL OF ANY ...
IF YES, WHAT KIND OF SCHOOL?
IS ANY LANGUAGE OTHER THAN ENGLISH F ...
IF YES, WHAT LANGUAGE?
WHAT IS YOUR MAIN ANCESTRY OR NATION ...
WHAT WAS HE DOING MOST OF PAST THREE ...
IF 'SOMETHING ELSE' FROM ABOVE, WHAT ...
IF 'KEEPING HOUSE' OR 'SOMETHING ELS ...
I 'WORKING' FROM ABOVE, DID HE WORK ...
DID HE WORK AT ANY TIME LAST WEEK OR ...
IF 'NO' TO ABOVE, EVEN THOUGH HE DID ...
IF 'NO' IN POSITION 126, WAS HE LOOK ...
IF YES TO ABOVE-WHICH?
CLASS OF WORKER
IF SELF-EMPLOYED IN 'OWN' BUSINESS A ...
BUSINESS OR INDUSTRY CODE
OCCUPATION CODE
DATE OF EXAMINATION
AGE AT EXAMINATION
FARM
POVERTY INDEX (X.XX)
REGION
FOOD PROGRAMS APPLICABILITY
ARE YOU CERTIFIED TO PARTICIPATE IN ...
ARE YOU BUYING STAMPS NOW?
WHAT IS THE MAIN REASON YOU AREN'T P ...
ARE YOU RECEIVING COMMODITY FOODS NO ...
WHY AREN'T YOU PARTICIPATING IN THE ...
DETAILED PERSONS-LOCATIONS 1-35
ALL SAMPLE PERSONS-LOCATIONS 1-35
DETAILED PERSONS-LOCATIONS 1-65
ALL SAMPLE PERSONS-LOCATIONS 1-65
DETAILED PERSONS-LOCATIONS 66-100
DETAILED PERSONS-LOCATIONS 1-100
STRATA 1/
PRIMARY SAMPLING UNITS 1/
DATA USER WORK AREA
CATALOG NUMBER 4081
WORK AREA
DO YOU HAVE AN ILLNESS OR CONDITION ...
DO YOU HAVE AN ILLNESS WHICH HAS REC ...
DO YOU HAVE TROUBLE CHEWING STEAKS, ...
DO YOU HAVE TROUBLE BITING APPLES OR ...
DO YOU HAVE TROUBLE BITING OR CHEWIN ...
ARE THERE ANY FOODS YOU AVOID EATING ...
WHAT ARE THEY? MILK
FATS
GREENS
SEAFOOD
OTHER
DO YOU HAVE EPISODES OF PAIN OR DISC ...
DO YOU HAVE DIFFICULTY SWALLOWING AT ...
DO YOU HAVE EPISODES OF VOMITING OF ...
HAVE YOU EVER HAD YELLOW JAUNDICE?
DID A DOCTOR EVER TELL YOU THAT YOU ...
WHICH? PROTEIN
ALBUMIN
BLOOD
SUGAR
DURING THE PAST 6 MONTHS HAVE YOU HA ...
DO YOU HAVE TROUBLE WITH YOUR BOWELS?
HOW OFTEN DO YOU USUALLY HAVE A BOWE ...
HAVE YOUR MOVEMENTS EVER BEEN WHITE, ...
WHICH? WHITE
GRAY
DARK BLACK
STREAKED WITH BLOOD
HAVE YOU EVER HAD AN ABDOMINAL OPERA ...
WAS IT FOR? ULCERS
GALLSTONES
HIATUS HERNIA OF THE DIAPHRAGM
TUMOR OF STOMACH, BOWEL OR COLON
TUMOR OR CYST OF THE WOMB OR OVARIES
HAS A DOCTOR EVER TOLD YOU THAT YOU ...
HOW MANY YEARS AGO DID YOU FIRST HAV ...
HAVE YOU EVER HAD ANEMIA?
HOW LONG AGO?
DID A DOCTOR TELL YOU THAT YOU HAD A ...
WHAT CAUSED IT? POOR DIET
CHILDBIRTH
ACCIDENTAL LOSS OF BLOOD
ILLNESS
SURGERY
WERE YOU TREATED FOR THIS CONDITION ...
WAS TREATED, A BETTER DIET
IRON PILLS
IRON SHOTS
VITAMIN PILLS
VITAMIN SHOTS
TRANSFUSIONS
ARE YOU STILL BEING TREATED FOR IT?
HAVE YOU EVER HAD TROUBLE SEEING?
DID YOU SEE A DOCTOR ABOUT IT?
HAVE YOU EVER WORN GLASSES OR CONTACTS?
DO YOU STILL WEAR THEM?
WHEN DO (DID) YOU WEAR THEM? ALL THE ...
FOR READING OR CLOSE WORK?
FOR DISTANCE VISION?
AT OTHER TIMES?
DO (DID) YOU HAVE TROUBLE WITH VISIO ...
HOW OLD WERE YOU WHEN YOU FIRST WORE ...
HAVE YOU EVER HAD TO MISS WORK OR SC ...
DURING THE PAST YEAR HAVE YOU HAD AT ...
HOW OFTEN DO YOU DRINK?
WHICH DO YOU MOST FREQUENTLY DRINK?
WHEN YOU DRINK, HOW MUCH DO YOU USUA ...
DO YOU EAT DIRT OR CLAY, STARCH OR A ...
WHICH DO YOU EAT? DIRT OR CLAY
STARCH
DURING THE PAST SIX MONTHS HAVE YOU ...
HEADACHE
OTHER PAINS
UPSET STOMACH OR INDIGESTION
WEAK HEART
ALLERGIES
NERVES
THYROID TROUBLE
LACK OF PEP
CONVULSIONS
HIGH BLOOD PRESSURE
BOWEL TROUBLE
SKIN CONDITIONS
WATER LOSS (FLUID PILLS)
WEIGHT LOSS
INFECTION
ARE YOU ON A SPECIAL DIET
WHAT IS THE DIET FOR? TO LOSE WEIGHT
DIABETES
KIDNEY FAILURE
ULCERS
HEART TROUBLE OR HIGH BLOOD PRESSURE
PREGNANCY
OTHER REASON
WHAT KIND OF DIET IS IT? LOW FAT
LOW PROTEIN
LOW SALT
LOW CARBOHYDRATE
LOW CALORIE
WAS THIS DIET ORDERED BY A DOCTOR?
IN YOU USUAL DAY, ASIDE FROM RECREAT ...
DO YOU GET MUCH EXERCISE IN THINGS Y ...
MAY I SEE YOUR BOX OF TABLE SALT?
WHAT IS MOST YOU HAVE EVER WEIGHED?
HOW OLD WERE YOU THEN?
WHAT IS LEAST YOU HAVE WEIGHED SINC ...
HOW OLD WHEN YOUR PERIODS OR MENSTRU ...
HAVE THEY ENTIRELY STOPPED?
AT WHAT AGE?
HAVE YOU TAKEN BIRTH CONTROL PILLS D ...
ARE YOU TAKING THEM NOW?
ARE YOU OR HAVE YOU EVER BEEN PREGNANT?
WHAT IS THE TOTAL NUMBER OF PREGNANC ...
WHAT IS THE TOTAL NUMBER OF MISCARRI ...
TOTAL NUMBER OF LIVE BIRTHS YOU HAVE ...
ARE YOU PREGNANT NOW?
WHICH MONTH OF PREGNANCY ARE YOU IN?
HAVE YOU HAD A PREGNANCY THAT ENDED ...
HOW MANY MONTHS AGO DID THAT PREGNAN ...
ARE YOU BREST FEEDING?
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 ...
IS THERE A SCHOOL BREAKFAST PROGRAM ...
HOW MUCH DOES HE PAY FOR HIS BREAKFA ...