At any such election at which the question of the adoption of the provisions of this chapter is submitted to the legal voters of a county, there shall be printed upon each official ballot substantially the following:
"To vote upon the public question printed below, if in favor thereof mark a cross (X) or plus (+) in the square at the left of the word YES, and if opposed thereto mark a cross (X) or plus (+) in the square at the left of the word NO.
"Shall chapter 4 of the title Poor of
[ ] YES the Revised Statutes (s. 44:4-1 et seq.),
providing for the settlement and relief
[ ] NO of the poor and for county relief, be adopted in
....................... (here insert
name of county)?"