Questionnaire Text

Questionnaire form view entire document:  text  image

17. Marital status
[] Unmarried
[] Married
[] Widowed
[] Divorced/separated

For questions 15, 16, 17, 18, 20, 22, 23, 24 and 25, put x in the relevant box.

Questionnaire instructions view entire document:  text  image

Question-17. Marital Status:
Marital status has been categorized into four categories.
For unmarried enter cross in the 1st check box;
For married enter cross in the 2nd check box;
For widowed enter cross in the 3rd check box;
For divorced/separated/left cross in the 4th check box.