Questionnaire Text

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9. Are you the father or mother of one or more children? (Including adult or deceased children)

[] No
[] Yes

[If yes]

a. How many children? _ _
b. Year of birth of your child/children?
Child 1: _ _ _ _
Child 2: _ _ _ _
Child 3: _ _ _ _
Child 4: _ _ _ _

If you have more than 4 children, please add the year of birth of your youngest child:
_ _ _ _