Questionnaire Text

Questionnaire form view entire document: text image

For all persons
[Questions in columns 1 to 9 asked of all persons.]

(4) Sex

[] Male
[] Female

Questionnaire instructions view entire document: text image

II. How to fill out the questionnaire (Document RGPH 2 Number 1).

Column (4): Sex
Circle "1" for males and "2" for females. For children (babies and newborns), ask the parents for their sex. Do not base your choice on their appearance.