stratum No._ 

 City 



3,') Segnsnt No. 



QUESTIONNAIRE 

 5 Unit No. (> 



Bureau of the Budget 



No. 1<2-5901 



Auth. expires June 30, 19^9 



r niTERVrEW THAT PERSON MAIMLY RESP0N3IBLB FOP PLANNING THE MEAI^ 3ERVKD IN THE HOUSEHOLD ] 

 RECORD OF CALL: 



Date . Interview Not at Home Refusal Ott^r (SPECIFY) 



A.J. WOOD RISKAECH CORPORATION 



PART A - OUIDKD ASSOCIATION QUESTIONS 



CANNSD FISH STUDY 



Time Interview Started: 



A.M. 



P.M. 



Introduce yourself as being from the A. J. Wood national research corporation doing a study for 

 the U. S. Government. Then say, "I am going to make several statements about three types of 

 canned fish. After I make the statement will you tell me how you feel about It, If you agree or 

 disagree? ( Interviewer will grade Inteotjlty of feeling by respondent's statement, attitude, tone, 

 etc. ) 



51 



