Questionnaire Text

Questionnaire form view entire document:  text  image
2. Is this person male or female?

[] Male
[] Female
Questionnaire instructions view entire document:  text  image
The Questions
Basic population information
Question 1 (on the paper survey) asks for the name of each person in the household so that the Questions can be asked person by person.

Questions 2 to 6 provide information about the living arrangements of people in Canada, family size, the number of children living with one parent or two parents, and the number of people who live alone. This information is used for planning social programs. It is also used by communities to plan services such as daycare centers, schools and senior citizens' residences.

Your NHS questionnaire contains all the information needed to answer questions 1 to 6. If you still have questions or require further information, please visit the NHS website at www.nhs.statcan.gc.ca or phone the StatCan Help Line at 1-877-308-2777.

Question 2 -- Sex
Mark either 'male' or 'female' to indicate the sex of each person.