1128 Y30. And is your ethnic origin Hispanic, that is are you

     1128      Y30. And is your ethnic origin Hispanic, that is are you
                    Mexican-American or Chicano, Puerto Rican, Cuban, or some
                    other Hispanic origin?

                    1. YES, MEXICAN-AMERICAN/CHICANO
                    2. YES, PUERTO RICAN
                    3. YES, CUBAN
                    4. YES, OTHER HISPANIC
                    5. NO

                    8. DK
                    9. NA, REFUSED