Schedule Used in Interviewing the Negro Migrants.I (1) NAME(2) Present Address(3) SinceNo.(4) Age(5) S. M. W.(6) Health(7) Occupation(8) Employer(9) Hours Daily(10) Weekly Wage(11) Kind of House(12) Rooms in House(13) Water Supply(14) Toilet(15)No.in House(16)No.in Bedroom(17)No.Beds(18)No.Windows in Room(19) How Does He(20) Leisure TimeSpend Money(a) ChurchWeekly?(b) Saloon(a) Room(c)(b) Board(c) or Family(21) Court RecordII (a) Former Address(c) Last Employer(d) Hours Daily(b) Former Occupations(e) Weekly Wage(f) Family(age)(g) Kind of Work(h) WeeklyWageW. 2(i) Why Left Home?Ch. 3(j) Who Paid Carfare Here?Ch. 4(k) Will Family Come Here?Ch. 5(l) When?Ch. 6(m) Live WhereCh. 7(n) When Will He Go BackCh. 8(o) Why?Ch. 9Total IncomeSIGNATUREDATE
Schedule Used in Interviewing the Negro Migrants.