Questionnaire Text

Questionnaire form view entire document:  text  image

3. How old are you?
[] Still under 1 year old
[] If one year old or older, mark the years with two digits _ _
[] Older than 99 years old, write down the age _ _ _

Questionnaire instructions view entire document:  text  image

Question 3: How old are you [is he/she]?
Register the age of the person in completed years by the day of the Census, filling in the bubbles or completing the boxes if the correspond to this age.

When the person being enumerated is less than one year old, you should complete the bubble that corresponds to "is less than one year old."

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When the person answering the Census is between 1 and 99 years old, you should mark the years with two digits. Always complete the units in the right hand column and the tens in the left hand column. In the case of children who are between 1 and years old, complete the tens by filling in the 0.

[Graphic not shown. See original document.]

When the person being listed in the census is one hundred years old or more, write the years in the spaces.