Please tick everything that applies (more than one answer is possible). Casual jobs should also be entered. Tick ''in employment'' if:
- You work at least one hour per week for payment, or;
- You work in a family business without payment, or
- You are temporarily away from work (on holiday, sick leave or paid maternity leave, military / community service) but are otherwise employed or self-employed.

Apprentices should select both ''in employment'' and ''undergoing training.''

[] 1 In full-time employment
[] 2 In part-time employment
[] 3 In several part-time employments
[] 4 Seeking a job (whether or not registered for unemployment insurance)
[] 5 Undergoing training (school, studies, apprenticeship)
[] 6 Looking after home or family
[] 7 Disabled or partially disabled (e.g. person in receipt of Federal Disability Insurance)
[] 8 Retired (in receipt of AHV (retirement) or other pension), or pensioner in receipt of benefit other than disability insurance
[] 9 Other non-employed situation

[If 1, 2, or 3 is chosen,] average number of hours worked per week: _ _

Person 1 is the person who completed the personal questionnaire

[Asked only of those who do not live alone in question 23.]

Person 2

1. First name: ____
2. Year of birth: (YYYY): _ _ _ _
3. Month of birth: (MM): _ _

Person 3

1. First name: ____
2. Year of birth: (YYYY): _ _ _ _
3. Month of birth: (MM): _ _

[Same questions are repeated for persons 4 - 6 and omitted from this form]

Only one answer.

[Asked only of those who do not live alone in question 23.]

Only to be completed by persons in employment (incl. apprentices). Refer to the person's main occupation.

Person 2

[] 1 Self-employed or owner of the stock corporation or plc
[] 2 Relative employed in family business
[] 3 Employed as director or board member
[] 4 Employee with managerial responsibility
[] 5 Employee without managerial responsibility (including apprentice)

[Same questions are repeated for persons 3 - 6 and omitted from this form]