Questionnaire Text

Questionnaire form view entire document:  text  image

Only for people 5 years and older
[Applies to questions 15 - 17]


15. Know how to read and write?

[] 1 yes
[] 2 no

Questionnaire instructions view entire document:  text  image

Question 15 - Do You Know How to Read and Write?

(Only for persons age 5 or over)

Record Yes for persons able to read or write at least a simple note in the language they know.
Record No for:

a) persons who never learned to read or write;
b) persons able to write only their own name;
c) persons who learned how to read and write and who, for some reason, forgot.