Questionnaire Text

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Questions 17 to 21 are intended for employed persons, apprentices, schoolchildren and students.
If you are both employed and in education/training, answer both columns

Employed persons
If you work in several places, mention your main job base.
If you move around in your job (e.g. driver, railway employee or construction-site worker), indicate where you usually start work.
If you work from home, give your employer's address.


17. Where do you work, where do you normally start work? Where do you normally go to school?

[Employed persons]
State your place of work with the exact address:

Name of company: ________
Street (or usually designation): ________
No. : _ _ _ _
Postcode: _ _ _ _
Locality (even if neighboring foreign country): ________
Canton: _ _
If abroad, indicate country: ____

[] Traveling (no fixed place of work)
Commercial travelers should enter 'traveling' as well as their employer's address.


[Schoolchildren, students]
State your place of education with the exact address:

Name of school: ________
Street (or usually designation): ________
No. : _ _ _ _
Postcode: _ _ _ _
Locality (even if neighboring foreign country): ________
Canton: _ _
If abroad, indicate country: ____