Questionnaire Text

Questionnaire form view entire document:  text  image
For all persons
[Questions in columns 1 to 11 were asked of all persons]

Now we would like to ask for information on you and the persons habitually living in your household or currently residing in your home

Births that occurred since January 1st 2001
[Questions in columns 26 - 27 concerns births that occurred since January 1st, 2001 and were asked of females age 10+]

(27) How many are still alive?

_ _ Male
_ _ Female
Questionnaire instructions view entire document:  text  image
v) Sociocultural characteristics

vi) Fertility data
Columns (24) to (27) only apply to female residents of 10 years or more of age (To this effect, verify with column 4 for gender and 6 for age). For women younger than 10, and males, these columns do not apply. For these persons, the agent shall not report anything in the boxes.

Columns (26) and (27): Births occurred since January 1st, 2001
Those are the living births to female residents of 10 years or more of age.

Column (27): Survival of births occurred since January 1st, 2001
The census agent shall ask the following question: "How many of these living births had since January 1st, 2001 are still alive?" Report the number indicated by infant's gender in the appropriate box.