[EDITORIAL NOTE]{.underline}: This set of questions was designed for use
in a computer-assisted personal interview. Questions PE-9 through PE-14
should be asked for a), then for b), etc. Similarly, questions PE-15
through PE-20 should be asked for a), then for b), and on through e).
PE-21 through PE-25 should be asked first for a) and then for b).

The pictures on the Show Cards have been removed from the Word version
to save space but can be examined in the PDF version.

PESTICIDES (pe)

> IF S. COMPLETED RESIDENTIAL HISTORY FORM, THANK HIM/HER AND REVIEW
> FORM.
>
> IF S. DID NOT COMPLETE RESIDENTIAL HISTORY FORM, HELP HIM/HER TO
> COMPLETE IT AND CONTINUE.
>
> REVIEW PERSONAL RESIDENCE AND WORK CALENDAR FORM AND MAKE SURE IT IS
> COMPLETE. PLACE A CHECK MARK NEXT TO EACH HOME LIVED IN FOR 2 YEARS OR
> MORE FROM \[(30 YEARS AGO)/BIRTH\] TO THE PRESENT.
>
> ASK S. IF (HE/SHE) LIVED IN ANY SUMMER OR VACATION HOMES FOR A TOTAL
> OF 2 YEARS (24 MONTHS) OR MORE SINCE \[(30 YEARS AGO)/BIRTH\]. IF YES,
> ADD THESE HOMES TO THE CALENDAR AND PLACE A CHECK MARK NEXT TO THEM.
>
> FOR EACH HOME THAT S. LIVED IN FOR 2 YEARS OR MORE SINCE \[(30 YEARS
> AGO)/BIRTH\], ENTER:
>
> − YEAR MOVED IN;
>
> − STREET NAME (OR CITY OR STATE); AND
>
> − YEAR MOVED OUT.
>
> FOR SUMMER/VACATION HOMES, [ENTER IN COMMENTS]{.underline} THE EXACT
> NUMBER OF MONTHS LIVED IN THE SUMMER/VACATION HOME.

(IF \< 2 HOMES ENTERED, DO NOT READ INTRODUCTION.) Before we review each
home separately, I have some general questions to ask you.

PE-1. Have you ever lived on a farm?

YES 1

NO 2 (PE-3)

PE-2. For how many total years did you live on a farm? IF DK, PROBE FOR
CATEGORY.

\|\_\_\|\_\_\|

LESS THAN 1 YEAR 1

1 TO 5 YEARS 2

6 TO 10 YEARS 3

MORE THAN 10 YEARS 4

PE-3. Counting yourself, how many people usually slept in your bedroom
up until you were 12 years old?

\|\_\_\|\_\_\|

> IF S. DID NOT LIVE IN [ANY]{.underline} HOMES FOR 2 OR MORE YEARS
> WITHIN THE PAST 30 YEARS,\
> END PE SECTION.

I am now going to ask you a series of questions about each home that you
lived in for 2 or more years since \[(30 YEARS AGO)/birth\]. I will
start with the most recent home and work backwards.

PE-4. (Now) let\'s talk about \[your current home/your home on
(STREET)/your home in (CITY)/your home in (STATE)\]. (IF CURRENT HOME,
VERIFY.) What type of home (is this/was this)?

SINGLE FAMILY HOUSE 01

DUPLEX OR TWO-FAMILY HOUSE 02

TOWNHOUSE OR ROWHOUSE 03

APARTMENT IN A BUILDING 04

APARTMENT IN A HOUSE 05

MOBILE HOME 06

OTHER (SPECIFY) 96

+-------------------------------+----------------------+---------------+
| PE-5. What (is/was) your      | PE-6. About how deep | PE-7. Please  |
| primary source of drinking    | (is/was) the well?   | estimate the  |
| water? \[AFTER FIRST          |                      | depth of the  |
| READ-THROUGH, SAY: \"What was |                      | well to the   |
| your source of water?\"\]     |                      | nearest 50    |
|                               |                      | feet.         |
| > SHOW CARD PE-2              |                      |               |
+-------------------------------+----------------------+---------------+
| > MUNICIPAL WATER SUPPLY 1    | \|\_\_               | \|\_\_\_\|\_\ |
| > (PE-9)                      | \_\|\_\_\_\|\_\_\_\| | _\_\|\_\_\_\| |
| >                             | FT (PE-9)            | FT            |
| > HOUSEHOLD WELL 2            |                      |               |
| >                             | > DK 998             |               |
| > SPRING 3 (PE-9)             |                      |               |
| >                             |                      |               |
| > BOTTLED WATER 4 (PE-9)      |                      |               |
| >                             |                      |               |
| > OTHER (SPECIFY) 6 (PE-9)    |                      |               |
| >                             |                      |               |
| > \_\_\_\_\_\_\_\_\_\_\_\     |                      |               |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                      |               |
+-------------------------------+----------------------+---------------+

+-----------------------------------------------------------------------+
| FOR FIRST HOME, SAY:                                                  |
|                                                                       |
| The next set of questions is about pesticides, which are products     |
| used to control unwanted pests like insects, rodents, and weeds. I\'m |
| interested in pesticides that were applied by you, another household  |
| member, or an exterminator, gardener, or other professional.          |
|                                                                       |
| > SHOW CARD PE-3                                                      |
|                                                                       |
| I\'ll start with pesticides used on any kind of outdoor plants,       |
| including on your lawn, trees, bushes, or flower or vegetable         |
| gardens, or on indoor plants. If you applied a fertilizer that        |
| contained a pesticide mixed into it, please include this, but only if |
| you\'re sure.                                                         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| FOR EACH HOME [AFTER]{.underline} THE FIRST HOME, SAY:                |
|                                                                       |
| Now let\'s talk about pesticides.                                     |
|                                                                       |
| > SHOW CARD PE-3                                                      |
+-----------------------------------------------------------------------+

> QUESTION PE-8 HAS BEEN OMITTED.

+-----------------------+------------------+---------------------------+
| PLACE                 | PE-9. \[Were     | PE-10. What did you treat |
|                       | pesticides ever  | for?                      |
|                       | used\] (PLACE)?  |                           |
|                       |                  | \[MARK ALL THAT APPLY.\]  |
+-----------------------+------------------+---------------------------+
| > SHOW CARD PE-4      | > YES 1          | [PEST]{.underline}        |
|                       | >                |                           |
| a\. On **your lawn**? | > NO 2 (PE-9b)   | INSECTS 1                 |
|                       |                  |                           |
|                       |                  | WEEDS 2                   |
|                       |                  |                           |
|                       |                  | LAWN, NOT OTHERWISE       |
|                       |                  | SPECIFIED 6               |
+-----------------------+------------------+---------------------------+
| > SHOW CARD PE-5      | > YES 1          | [PEST]{.underline}        |
|                       | >                |                           |
| b\. On **outdoor      | > NO 2 (PE-9c)   | INSECTS 1                 |
| plants and trees?**   |                  |                           |
| (Please don\'t        |                  | WEEDS 2                   |
| include lawn          |                  |                           |
| treatments.)          |                  | DISEASES 3                |
|                       |                  |                           |
|                       |                  | OUTDOOR PLANTS, NOT       |
|                       |                  | OTHERWISE SPECIFIED 6     |
+-----------------------+------------------+---------------------------+
| > SHOW CARD PE-6      | > YES 1          |                           |
|                       | >                |                           |
| c\. On **indoor       | > NO 2 (PE-15)   |                           |
| plants**?             |                  |                           |
+-----------------------+------------------+---------------------------+

ASK PE-11 THROUGH PE-14 FOR EACH PLACE (IN BOLD) AND PEST COMBINATION
INDICATED IN PE-9 AND PE-10. IF PE-10a OR PE-10b = 06 (E.G., PEST NOT
SPECIFIED), USE \"PLACE\" ONLY. FOR PE-9c, PEST = \"insects and
diseases.\"

+-------------------------------------+--------------------------------+
| PE-11. When you treated \[for       | PE-12. (Of the years that you  |
| (PEST) on (PLACE)/ (PLACE)\], who   | lived in this home), for how   |
| applied the treatments? \[MARK ALL  | many years (were they          |
| THAT APPLY.\]                       | applied)?                      |
|                                     |                                |
| > SHOW CARD PE-4-9                  | > SHOW CARD PE-4-9             |
+-------------------------------------+--------------------------------+
| RESPONDENT 1                        | ALL OR MOST 1                  |
|                                     |                                |
| LAWN SERVICE, GARDENER,\            | ABOUT HALF 2                   |
| OR EXTERMINATOR 2                   |                                |
|                                     | LESS THAN HALF 3               |
| SOMEONE ELSE 3                      |                                |
+-------------------------------------+--------------------------------+
| RESPONDENT 1                        | ALL OR MOST 1                  |
|                                     |                                |
| LAWN SERVICE, GARDENER,\            | ABOUT HALF 2                   |
| OR EXTERMINATOR 2                   |                                |
|                                     | LESS THAN HALF 3               |
| SOMEONE ELSE 3                      |                                |
+-------------------------------------+--------------------------------+
| RESPONDENT 1                        | ALL OR MOST 1                  |
|                                     |                                |
| LAWN SERVICE, GARDENER,\            | ABOUT HALF 2                   |
| OR EXTERMINATOR 2                   |                                |
|                                     | LESS THAN HALF 3               |
| SOMEONE ELSE 3                      |                                |
+-------------------------------------+--------------------------------+

+-----------------------------------+----------------------------------+
| PE-13. READ PARENTHETICAL         | PE-14. How were they applied?\   |
| EXPRESSIONS FIRST TIME ONLY:      | \[MARK ALL THAT APPLY.\]         |
| (During a typical year that these |                                  |
| pesticides were used,) how many   | > SHOW CARD PE-4-9               |
| times a year (were they applied)? |                                  |
|                                   |                                  |
| > SHOW CARD PE-4-9                |                                  |
+-----------------------------------+----------------------------------+
| ONCE A YEAR 1                     | SPRAY 01                         |
|                                   |                                  |
| 2 - 12 TIMES A YEAR 2             | LIQUID 02                        |
|                                   |                                  |
| MORE THAN 12 TIMES\               | GRANULES 03                      |
| A YEAR 3                          |                                  |
|                                   | FOGGER 04                        |
|                                   |                                  |
|                                   | POWDER 05                        |
|                                   |                                  |
|                                   | BAIT OR TRAP 06                  |
|                                   |                                  |
|                                   | MOTHBALLS 07                     |
|                                   |                                  |
|                                   | OTHER (SPECIFY) 96               |
+-----------------------------------+----------------------------------+
| ONCE A YEAR 1                     | SPRAY 01                         |
|                                   |                                  |
| 2 - 12 TIMES A YEAR 2             | LIQUID 02                        |
|                                   |                                  |
| MORE THAN 12 TIMES\               | GRANULES 03                      |
| A YEAR 3                          |                                  |
|                                   | FOGGER 04                        |
|                                   |                                  |
|                                   | POWDER 05                        |
|                                   |                                  |
|                                   | BAIT OR TRAP 06                  |
|                                   |                                  |
|                                   | MOTHBALLS 07                     |
|                                   |                                  |
|                                   | OTHER (SPECIFY) 96               |
+-----------------------------------+----------------------------------+
| ONCE A YEAR 1                     | SPRAY 01                         |
|                                   |                                  |
| 2 - 12 TIMES A YEAR 2             | LIQUID 02                        |
|                                   |                                  |
| MORE THAN 12 TIMES\               | GRANULES 03                      |
| A YEAR 3                          |                                  |
|                                   | FOGGER 04                        |
|                                   |                                  |
|                                   | POWDER 05                        |
|                                   |                                  |
|                                   | BAIT OR TRAP 06                  |
|                                   |                                  |
|                                   | MOTHBALLS 07                     |
|                                   |                                  |
|                                   | OTHER (SPECIFY) 96               |
+-----------------------------------+----------------------------------+

+----------------+-----------------------+-----------------------------+
| TYPE OF        | PE-15. \[Were         | PE-16. \[When you treated   |
|                | pesticides ever used  | (for) (TYPE OF PEST)\], who |
| PEST           | (inside or outside)   | applied the treatments?     |
|                | to treat (for) (TYPE  | \[MARK ALL THAT APPLY.\]    |
|                | OF PEST)?\] Which     |                             |
|                | ones? \[MARK ALL THAT | > SHOW CARD PE-4-9          |
|                | APPLY.\]              |                             |
+----------------+-----------------------+-----------------------------+
| > SHOW CARD    | NONE 0                | RESPONDENT 1                |
| > PE-7         |                       |                             |
|                | FLIES 1               | LAWN SERVICE, GARDENER,\    |
| a\. **Flying   |                       | OR EXTERMINATOR 2           |
| insects**?     | MOSQUITOES 2          |                             |
|                |                       | SOMEONE ELSE 3              |
|                | BEES, WASPS, OR       |                             |
|                |                       |                             |
|                | HORNETS 3             |                             |
|                |                       |                             |
|                | MOTHS 4               |                             |
|                |                       |                             |
|                | OTHER (SPECIFY) 6     |                             |
|                |                       |                             |
|                | \_\_\_                |                             |
|                | \_\_\_\_\_\_\_\_\_\_\ |                             |
|                | _\_\_\_\_\_\_\_\_\_\_ |                             |
+----------------+-----------------------+-----------------------------+
| > SHOW CARD    | NONE 0                | RESPONDENT 1                |
| > PE-8         |                       |                             |
|                | ANTS OR ROACHES 1     | LAWN SERVICE, GARDENER,\    |
| b\. **Crawling |                       | OR EXTERMINATOR 2           |
| insects?**     | SILVERFISH 2          |                             |
|                |                       | SOMEONE ELSE 3              |
|                | SPIDERS 3             |                             |
|                |                       |                             |
|                | OTHER (SPECIFY) 6     |                             |
|                |                       |                             |
|                | \_\_\_\_\_\_\_        |                             |
|                | \_\_\_\_\_\_\_\_\_\_\ |                             |
|                | _\_\_\_\_\_\_\_\_\_\_ |                             |
+----------------+-----------------------+-----------------------------+
| > SHOW CARD    | NONE 0                | RESPONDENT 1                |
| > PE-9         |                       |                             |
|                | MICE, RATS, OR\       | LAWN SERVICE, GARDENER,\    |
| c\.            | SQUIRRELS 1           | OR EXTERMINATOR 2           |
| **Rodents**?   |                       |                             |
|                | GOPHERS OR MOLES 2    | SOMEONE ELSE 3              |
|                |                       |                             |
|                | BATS 3                |                             |
|                |                       |                             |
|                | OTHER (SPECIFY) 6     |                             |
|                |                       |                             |
|                | \_\_\_\_\_\_\_        |                             |
|                | \_\_\_\_\_\_\_\_\_\_\ |                             |
|                | _\_\_\_\_\_\_\_\_\_\_ |                             |
+----------------+-----------------------+-----------------------------+
| > SHOW CARD    | NEITHER 0             | RESPONDENT 1                |
| > PE-10        |                       |                             |
|                | FLEAS 1               | VETERINARIAN OR\            |
| d\. **Your     |                       | PROFESSIONAL GROOMER 2      |
| pets for**     | TICKS 2               |                             |
| **fleas or     |                       | SOMEONE ELSE 3              |
| ticks**?       |                       |                             |
+----------------+-----------------------+-----------------------------+
| > SHOW CARD    | NEITHER 0             | RESPONDENT 1                |
| > PE-11        |                       |                             |
|                | FLEAS 1               | LAWN SERVICE, GARDENER,\    |
| e\. **The      |                       | OR EXTERMINATOR 2           |
| inside or      | TICKS 2               |                             |
| outside of     |                       | SOMEONE ELSE 3              |
| your home      |                       |                             |
| for** **fleas  |                       |                             |
| or ticks**?    |                       |                             |
+----------------+-----------------------+-----------------------------+

+----------------+----------------+------------------+----------------+
| PE-17. (Of the | PE-18. How     | PE-19. How were  | PE-20. Where   |
| years that you | many times a   | they applied?\   | were they      |
| lived in this  | year (were     | \[MARK ALL THAT  | applied?       |
| home), for how | they applied)? | APPLY.\]         | \[MARK ALL     |
| many years     |                |                  | THAT APPLY.\]  |
| (were they     | > SHOW CARD    | > SHOW CARD      |                |
| applied)?      | > PE-4-9       | > PE-4-9         | > SHOW CARD    |
|                |                |                  | > PE-4-9       |
| > SHOW CARD    |                |                  |                |
| > PE-4-9       |                |                  |                |
+----------------+----------------+------------------+----------------+
| ALL OR MOST 1  | ONCE A YEAR 1  | SPRAY 01         | INSIDE THE     |
|                |                |                  | HOME 1         |
| ABOUT HALF 2   | 2 - 12 TIMES\  | LIQUID 02        |                |
|                | A YEAR 2       |                  | IN THE GARAGE  |
| LESS THAN HALF |                | GRANULES 03      | 2              |
| 3              | MORE THAN 12\  |                  |                |
|                | TIMES A YEAR 3 | FOGGER 04        | OUTSIDE 3      |
|                |                |                  |                |
|                |                | POWDER 05        |                |
|                |                |                  |                |
|                |                | BAIT OR TRAP 06  |                |
|                |                |                  |                |
|                |                | MOTHBALLS 07     |                |
|                |                |                  |                |
|                |                | OTHER (SPECIFY)  |                |
|                |                | 96               |                |
+----------------+----------------+------------------+----------------+
| ALL OR MOST 1  | ONCE A YEAR 1  | SPRAY 01         | INSIDE THE     |
|                |                |                  | HOME 1         |
| ABOUT HALF 2   | 2 - 12 TIMES\  | LIQUID 02        |                |
|                | A YEAR 2       |                  | IN THE GARAGE  |
| LESS THAN HALF |                | GRANULES 03      | 2              |
| 3              | MORE THAN 12\  |                  |                |
|                | TIMES A YEAR 3 | FOGGER 04        | OUTSIDE 3      |
|                |                |                  |                |
|                |                | POWDER 05        |                |
|                |                |                  |                |
|                |                | BAIT OR TRAP 06  |                |
|                |                |                  |                |
|                |                | MOTHBALLS 07     |                |
|                |                |                  |                |
|                |                | OTHER (SPECIFY)  |                |
|                |                | 96               |                |
+----------------+----------------+------------------+----------------+
| ALL OR MOST 1  | ONCE A YEAR 1  | SPRAY 01         | INSIDE THE     |
|                |                |                  | HOME 1         |
| ABOUT HALF 2   | 2 -- 12 TIMES\ | LIQUID 02        |                |
|                | A YEAR 2       |                  | IN THE GARAGE  |
| LESS THAN HALF |                | GRANULES 03      | 2              |
| 3              | MORE THAN 12\  |                  |                |
|                | TIMES A YEAR 3 | FOGGER 04        | OUTSIDE 3      |
|                |                |                  |                |
|                |                | POWDER 05        |                |
|                |                |                  |                |
|                |                | BAIT OR TRAP 06  |                |
|                |                |                  |                |
|                |                | MOTHBALLS 07     |                |
|                |                |                  |                |
|                |                | OTHER (SPECIFY)  |                |
|                |                | 96               |                |
+----------------+----------------+------------------+----------------+
| ALL OR MOST 1  | ONCE A YEAR 1  | SPRAY 01         |                |
|                |                |                  |                |
| ABOUT HALF 2   | 2 - 12 TIMES\  | DIP 02           |                |
|                | A YEAR 2       |                  |                |
| LESS THAN HALF |                | COLLAR 03        |                |
| 3              | MORE THAN 12\  |                  |                |
|                | TIMES A YEAR 3 | PET SHAMPOO 04   |                |
|                |                |                  |                |
|                |                | POWDER 05        |                |
|                |                |                  |                |
|                |                | OTHER (SPECIFY)  |                |
|                |                | 96               |                |
+----------------+----------------+------------------+----------------+
| ALL OR MOST 1  | ONCE A YEAR 1  | SPRAY 01         | INSIDE THE     |
|                |                |                  | HOME 1         |
| ABOUT HALF 2   | 2 - 12 TIMES\  | LIQUID 02        |                |
|                | A YEAR 2       |                  | IN THE GARAGE  |
| LESS THAN HALF |                | GRANULES 03      | 2              |
| 3              | MORE THAN 12\  |                  |                |
|                | TIMES A YEAR 3 | FOGGER 04        | OUTSIDE 3      |
|                |                |                  |                |
|                |                | POWDER 05        |                |
|                |                |                  |                |
|                |                | OTHER (SPECIFY)  |                |
|                |                | 96               |                |
+----------------+----------------+------------------+----------------+

+-----------------------------------+-----------------------------------+
| PE-21. Was this home ever treated | PE-22. Was it treated while you   |
| for (PEST)?                       | were living here, before you      |
|                                   | moved in, or both?                |
| (Please include treatments inside |                                   |
| and outside the home.)            | SHOW CARD PE-13                   |
|                                   |                                   |
| SHOW CARD PE-12                   |                                   |
+-----------------------------------+-----------------------------------+
| [PEST]{.underline}                | WHILE IN RESIDENCE 1              |
|                                   |                                   |
| a\. Termites?                     | BEFORE MOVING IN 2 (PE-21b)       |
|                                   |                                   |
| > YES 1                           | BOTH WHILE IN RESIDENCE AND       |
| >                                 |                                   |
| > NO 2 (PE-21b)                   | BEFORE MOVING IN 3                |
+-----------------------------------+-----------------------------------+
| b\. Carpenter ants?               | WHILE IN RESIDENCE 1              |
|                                   |                                   |
| > YES 1                           | BEFORE MOVING IN 2 (PE-26)        |
| >                                 |                                   |
| > NO 2 (PE-26)                    | BOTH WHILE IN RESIDENCE AND       |
|                                   |                                   |
|                                   | BEFORE MOVING IN 3                |
+-----------------------------------+-----------------------------------+

+-------------------+---------------------+---------------------------+
| > IF S. LIVED IN  | PE-24. How many     | PE-25. Who applied the    |
| > HOME IN 1988,   | times (was it       | treatments?\              |
| > AND PE-22a = 1  | treated)?           | \[MARK ALL THAT APPLY.\]  |
| > OR 3, ASK       |                     |                           |
| > PE-23.\         | SHOW CARD PE-13     | SHOW CARD PE-13           |
| > OTHERWISE, GO   |                     |                           |
| > TO PE-24.       |                     |                           |
|                   |                     |                           |
| PE-23. In which   |                     |                           |
| years did you     |                     |                           |
| treat for         |                     |                           |
| termites?         |                     |                           |
+-------------------+---------------------+---------------------------+
| IF DK: Did you    | \|\_\_\_\|\_\_\_\|  | RESPONDENT 1              |
| treat before or   |                     |                           |
| after 1988?       |                     | PROFESSIONAL EXTERMINATOR |
|                   |                     | 2                         |
| BEFORE 1988 1     |                     |                           |
|                   |                     | SOMEONE ELSE 3            |
| IN 1988 2         |                     |                           |
|                   |                     |                           |
| AFTER 1988 3      |                     |                           |
+-------------------+---------------------+---------------------------+
|                   | \|\_\_\_\|\_\_\_\|  | RESPONDENT 1              |
|                   |                     |                           |
|                   |                     | PROFESSIONAL EXTERMINATOR |
|                   |                     | 2                         |
|                   |                     |                           |
|                   |                     | SOMEONE ELSE 3            |
+-------------------+---------------------+---------------------------+

PE-26. While you were living in this home, did [the
community]{.underline} ever spray for insects such as gypsy moths,
Mediterranean fruit flies, or mosquitoes?

YES 1

NO 2 (END SECTION)

PE-27. Which pest did your community spray for? Was it:

\[MARK ALL THAT APPLY.\]

Gypsy moths, 1

Mediterranean fruit flies, 2

Mosquitoes, or 3

Something else? (SPECIFY) 6

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PE-28. For how many years did community spraying for any of these pests
occur? Please include any year in which the community sprayed at least
once.

\|\_\_\_\|\_\_\_\|

\# YEARS

GO TO THE PERSONAL RESIDENCE AND WORK CALENDAR AND MARK ALL OTHER HOMES
LIVED IN FOR AT LEAST 2 YEARS (I.E., THOSE LIVED IN FOR AT LEAST 2 YEARS
MORE THAN 30 YEARS AGO). IF NO OTHER HOMES, END PE SECTION.

Now I would like to ask you a brief question about your main source of
drinking water in each of the other homes you have lived in for 2 years
or more. When answering this questions, just tell me if it was a
[municipal water supply]{.underline}, [a household well]{.underline}, or
[something else]{.underline}.

ASK THE QUESTION BELOW ABOUT [EACH ADDITIONAL HOME]{.underline}. RECORD
THE RESPONSE CODE DIRECTLY ON THE CALENDAR.

PE-29. What was your primary source of drinking water while you were
living at this home?

M = MUNICIPAL WATER SUPPLY

W = HOUSEHOLD WELL

O = OTHER

D = DON\'T KNOW

+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-1]{.underline}**  | **[SHOW CARD PE-2]{.underline}**  |
|                                   |                                   |
| **What type of home was this?**   | **What was your main source of    |
|                                   | drinking water?**                 |
| Single family house               |                                   |
|                                   | Municipal water supply            |
| Duplex or two-family house        |                                   |
|                                   | Household well                    |
| Townhouse or rowhouse             |                                   |
|                                   | Spring                            |
| Apartment in a building           |                                   |
|                                   | Bottled water                     |
| Apartment in a house              |                                   |
|                                   | Another source                    |
| Mobile home                       |                                   |
|                                   |                                   |
| Another type of home              |                                   |
+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-3]{.underline}**  | **[SHOW CARD PE-4]{.underline}**  |
|                                   |                                   |
| **Include pesticides used inside  | **Lawn pests**                    |
| and**                             |                                   |
|                                   | Insects                           |
| **outside your home**             |                                   |
|                                   | Dandelions                        |
| **Inside**                        |                                   |
|                                   | Crabgrass                         |
| All areas of the home,            |                                   |
|                                   | Other weeds                       |
| including:                        |                                   |
|                                   |                                   |
| Attic                             |                                   |
|                                   |                                   |
| Kitchen                           |                                   |
|                                   |                                   |
| Bathroom                          |                                   |
|                                   |                                   |
| Basement                          |                                   |
|                                   |                                   |
| **Outside**                       |                                   |
|                                   |                                   |
| All areas, including:             |                                   |
|                                   |                                   |
| Lawn                              |                                   |
|                                   |                                   |
| Vegetable or flower gardens       |                                   |
|                                   |                                   |
| Trees                             |                                   |
|                                   |                                   |
| **Garage**                        |                                   |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-5]{.underline}**  | **[SHOW CARD PE-6]{.underline}**  |
|                                   |                                   |
| **Pests of outdoor plants and     | **Pest of indoor plants**         |
| trees**                           |                                   |
|                                   | Aphids                            |
| **Weeds**                         |                                   |
|                                   | Root rot                          |
| **Insects**                       |                                   |
|                                   | White fly                         |
| Gypsy moths                       |                                   |
|                                   | Bull's-eye                        |
| Bees                              |                                   |
|                                   | Rust                              |
| Japanese beetles                  |                                   |
|                                   | Other insects or diseases         |
| Wasps                             |                                   |
|                                   |                                   |
| Aphids                            |                                   |
|                                   |                                   |
| Other insects                     |                                   |
|                                   |                                   |
| **Diseases**                      |                                   |
|                                   |                                   |
| Blackspot                         |                                   |
|                                   |                                   |
| Crown rot                         |                                   |
|                                   |                                   |
| Powdery mildew                    |                                   |
|                                   |                                   |
| Other diseases                    |                                   |
+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-7]{.underline}**  | **[SHOW CARD PE-8]{.underline}**  |
|                                   |                                   |
| **Flying insects**                | **Crawling insects**              |
|                                   |                                   |
| Flies                             | Ants                              |
|                                   |                                   |
| Mosquitoes                        | Roaches                           |
|                                   |                                   |
| Bees                              | Silverfish                        |
|                                   |                                   |
| Wasps                             | Spiders                           |
|                                   |                                   |
| Hornets                           | Other crawling insects            |
|                                   |                                   |
| Moths                             |                                   |
|                                   |                                   |
| Other flying insects              |                                   |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-9]{.underline}**  | **[SHOW CARD                      |
|                                   | PE-4-9]{.underline}**             |
| **Rodents**                       |                                   |
|                                   | **Who applied the treatments?**   |
| Mice                              |                                   |
|                                   | You                               |
| Rats                              |                                   |
|                                   | A lawn service, gardener, or      |
| Squirrels                         | exterminator                      |
|                                   |                                   |
| Gophers                           | Someone else                      |
|                                   |                                   |
| Moles                             | **For how many years were they    |
|                                   | applied?**                        |
| Bats                              |                                   |
|                                   | All or most years                 |
| Other rodents                     |                                   |
|                                   | About half of the years           |
|                                   |                                   |
|                                   | Less than half of the years       |
|                                   |                                   |
|                                   | **How many times a year?**        |
|                                   |                                   |
|                                   | Once a year                       |
|                                   |                                   |
|                                   | 2 to 12 times a year              |
|                                   |                                   |
|                                   | More than 12 times a year         |
|                                   |                                   |
|                                   | **How were they applied?**        |
|                                   |                                   |
|                                   | Spray Powder                      |
|                                   |                                   |
|                                   | Fogger Bait or trap               |
|                                   |                                   |
|                                   | Liquid Mothballs                  |
|                                   |                                   |
|                                   | Granules Other                    |
|                                   |                                   |
|                                   | **Where were they applied?**      |
|                                   |                                   |
|                                   | Inside the home                   |
|                                   |                                   |
|                                   | In the garage                     |
|                                   |                                   |
|                                   | Outside                           |
+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-10]{.underline}** | **[SHOW CARD PE-11]{.underline}** |
|                                   |                                   |
| **Fleas and ticks on pets**       | **Fleas and ticks inside and      |
|                                   | outside your home**               |
| **Who applied the treatments?**   |                                   |
|                                   | **Who applied the treatments?**   |
| You                               |                                   |
|                                   | You                               |
| A veterinarian groomer            |                                   |
|                                   | A lawn service, gardener, or      |
| Someone else                      | exterminator                      |
|                                   |                                   |
| **For how many years were they    | Someone else                      |
| applied?**                        |                                   |
|                                   | **For how many years were they    |
| All or most years                 | applied?**                        |
|                                   |                                   |
| About half of the years           | All or most years                 |
|                                   |                                   |
| Less than half of the years       | About half of the years           |
|                                   |                                   |
| **How many times a year?**        | Less than half of the years       |
|                                   |                                   |
| Once a year                       | **How many times a year?**        |
|                                   |                                   |
| 2 to 12 times a year              | Once a year                       |
|                                   |                                   |
| More than 12 times a year         | 2 to 12 times a year              |
|                                   |                                   |
| **How were they applied?**        | More than 12 times a year         |
|                                   |                                   |
| Spray Pet shampoo                 | **How were they applied?**        |
|                                   |                                   |
| Dip Powder                        | Spray Granules                    |
|                                   |                                   |
| Collar Other                      | Fogger Powder                     |
|                                   |                                   |
|                                   | Liquid Other                      |
|                                   |                                   |
|                                   | **Where were they applied?**      |
|                                   |                                   |
|                                   | Inside the home                   |
|                                   |                                   |
|                                   | In the garage                     |
|                                   |                                   |
|                                   | Outside                           |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **[SHOW CARD PE-12]{.underline}** | **[SHOW CARD PE-13]{.underline}** |
|                                   |                                   |
| **Termites and carpenter ants**   | **When was it treated?**          |
|                                   |                                   |
| **Any wooden structures of the    | While you lived there             |
| home, such as :**                 |                                   |
|                                   | Before you moved in               |
| The foundation                    |                                   |
|                                   | Both                              |
| Outside steps                     |                                   |
|                                   | **How many times?**               |
| Doors ands door sills             |                                   |
|                                   | **Who applied the treatments?**   |
| Window sills and shutters         |                                   |
|                                   | You                               |
| Porches                           |                                   |
|                                   | Professional exterminator         |
| Eaves                             |                                   |
|                                   | Someone else                      |
+-----------------------------------+-----------------------------------+