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010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010000040000002701ffff030000000000}\par}}}{\b\f39\fs36\insrsid8863532 W}{\b\f39\insrsid8863532 himsy }{
\b\f39\fs36\insrsid8863532 C}{\b\f39\insrsid8863532 orgi }{\b\f39\fs36\insrsid8863532 T}{\b\f39\insrsid8863532 ails }{\b\f39\fs36\insrsid8863532 K}{\b\f39\insrsid8863532 ennel
\par }\pard\plain \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8863532 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f37\insrsid8863532 Prospective Buyer Questionnaire
\par }\pard \qc \li0\ri5844\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin5844\lin0\itap0\pararsid8863532 {\f37\fs20\insrsid8863532\charrsid8863532 
\par 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8863532 {\f37\fs22\insrsid8863532 The purpose of this questionnaire is not to prejudge you but to get to know you better and help us 
choose just the right puppy for you.  There is no one best way to own or care for a dog but at Whimsy Kennels we want to be sure that your puppy will be happy in its new home.
\par 
\par Please complete the questionnaire and either mail or fax it to us.
\par 
\par }\trowd \irow0\irowband0\ts11\trgaph108\trrh576\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
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\brdrs\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow2\irowband2
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\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Last Name:\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow2\irowband2
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Mailing Address:\cell }{\f37\fs22\insrsid8863532 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow3\irowband3
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Street Address }{\i\f1\fs20\insrsid8863532 (if different from mailing address)}{
\f1\fs20\insrsid8863532 :\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow4\irowband4
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 City:\cell }{\f37\fs22\insrsid8863532 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow5\irowband5
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 State/Providence:\cell }{\f37\fs22\insrsid8863532 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow6\irowband6
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow7\irowband7
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {
\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Zip/Postal Code:\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow7\irowband7
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow8\irowband8
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell \cell 
\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow8\irowband8
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow9\irowband9
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {
\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Day Time Phone No.:
\par }{\f1\fs16\insrsid8863532 (Include Area Code)\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow9\irowband9
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow10\irowband10
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {
\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Evening Phone No.:
\par }{\f1\fs16\insrsid8863532 (Include Area Code)\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow10\irowband10
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow11\irowband11
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {
\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 E-Mail Address:\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow11\irowband11
\ts11\trgaph108\trrh346\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow12\irowband12
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell }{
\f37\fs20\insrsid8863532 \cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow12\irowband12
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth6408\clshdrawnil \cellx9468\row }\trowd \irow13\irowband13
\ts11\trgaph108\trrh522\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 About Your Home Environment\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow13\irowband13
\ts11\trgaph108\trrh522\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\row }\trowd \irow14\irowband14
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
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No. of Adults in Household:\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow14\irowband14
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No. of Children in Household:\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow15\irowband15
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth288\clshdrawnil \cellx180\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3780\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl 
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5508\clshdrawnil \cellx9468\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11875076 {\f37\fs22\insrsid8863532 \cell }{\f1\fs20\insrsid8863532 Children
\rquote s\rquote  Ages:\cell }{\f37\fs22\insrsid8863532 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid8863532 \trowd \irow16\irowband16
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8863532\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
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Is someone home during the day? 
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