17. During the last year (Jan. - Dec. 1991), did anyone who lived in this household die (including children and newborn infants)?
[Question 17 was asked of persons in occupied private dwellings, per Questions 1 and 2.]
[] 1 Yes
[] 2 No
17.1 How many were males and what was their age at death?
____ Number of males
_ _ Age or ages
_ _
_ _
_ _
Note: If the person deceased before reaching one year of age, write 00. If the person deceased at age 98 or older, write 98.
17.2 How many were female and what was their age at death?
____ Number of females
_ _ Age or ages
_ _
_ _
_ _
Note: If the person deceased before reaching one year of age, write 00. If the person deceased at age 98 or older, write 98.