Questionnaire Text

Dec 2022
Dec 2021
top
Dec 2022
Questionnaire form view entire document:  text  image
SP8
If [(SEX=2 and AGE=15-45) for any hh member and (AGE=0-4) for any hh
member] then fill second option else if
(SEX=2 and AGE=15-45) for any hh member and (no AGE=0-4) for any hh
member then fill first option else fill third option.
During the past 30 days, did any (women/women or children/children) in this
household get food through the WIC program?
(1) Yes
(2) No (GO TO TSC3)
Blind (D) or (R) (GO TO TSC3)

Questionnaire form view entire document:  text  image
SP9
If [(SEX=2 and AGE=15-45) for any hh member and (AGE=0-4) for any hh
member] then fill second option else if
(SEX=2 and AGE=15-45) for any hh member and (no AGE=0-4) for any hh
member then fill first option else fill third option.
How many (women/women or children/children) in the household got WIC
foods?
Number
Blind (D) or (R)

top
Dec 2021
Questionnaire form view entire document:  text  image
SP8
If [(SEX = 2 and AGE = 15-45) for any hh member and (AGE = 0-4) for any hh member] then fill second option else if
(SEX = 2 and AGE = 15-45) for any hh member and (no AGE = 0-4) for any hh member then fill first option else fill third option.
During the past 30 days, did any (women/women or children/children) in this household get food through the WIC program?
(1) Yes
(2) No (GO TO SS1)
Blind (D) or (R) (GO TO SS1)

Questionnaire form view entire document:  text  image
SP9
If [(SEX = 2 and AGE = 15-45) for any hh member and (AGE = 0-4) for any hh member] then fill second option else if
(SEX = 2 and AGE = 15-45) for any hh member and (no AGE = 0-4) for any hh member then fill first option else fill third option.
How many (women/women or children/children) in the household got WIC foods?
Number
Blind (D) or (R)