Questionnaire Text

Questionnaire form view entire document:  text  image

[Questions 6 to 26 were asked of persons who lived in occupied private dwelling and were present at the time of enumeration, per Questions 4 and 5.]


26. What was her age at death?

____ Years

Questionnaire instructions view entire document:  text  image

Chapter C. Characteristics of dwellings with inhabitants who are present


Question 26. How old was she when she passed away?

The number corresponding to the age, as indicated by the informant, is recorded in the boxes.

Reminder:
A number is written in each box, following the example given in the upper part of the census form.