Record the first names of each person in your household. You should also include any visitors who watch TV in your home by writing “visitor”. Include the age, gender, and number of working hours per week for members of your household that are employed (for anyone not working, write 0).
There can be both a male and a female head of household.
Column 1: The male head of house is the male's name listed on your home's lease, deed, or mortgage. Leave this column blank if there is no male head of household.
Column 2: The female head of house is the female's name listed on your home's lease, deed, or mortgage. Leave this column blank if there is no female head of household.
Columns 3 – 9: Write the names of other household members who are not the male or female head of house in these columns. TV On No One Watching or Listening: Use this column to indicate that the TV is "ON", but no one is watching or listening. Mark an "X" and draw a line down to indicate the length of time the TV is "ON", and no one is watching or listening.