The document appears to be a survey or quiz about home safety with questions to be answered by circling a letter for each question. It asks the person's name, address and for them to indicate their answers to questions about home safety by circling a letter choice and provides a space to tally the total points from their responses.
The document appears to be a survey or quiz about home safety with questions to be answered by circling a letter for each question. It asks the person's name, address and for them to indicate their answers to questions about home safety by circling a letter choice and provides a space to tally the total points from their responses.
The document appears to be a survey or quiz about home safety with questions to be answered by circling a letter for each question. It asks the person's name, address and for them to indicate their answers to questions about home safety by circling a letter choice and provides a space to tally the total points from their responses.
Address: ___________________________________ Address: ___________________________________ To indicate your answer, encircle the appropriate To indicate your answer, encircle the appropriate letter for each question. letter for each question.
Address: ___________________________________ Address: ___________________________________ To indicate your answer, encircle the appropriate To indicate your answer, encircle the appropriate letter for each question. letter for each question.