Questionnaire Text

Questionnaire form view entire document:  text  image
Questionnaire - household

Record type ____
11. Type of establishment (collective households only) ____ _
12. Page no. _ _
13. Total number of pages _ _
14. Address of the household ____ _ _ _
15. Total number of residents in the household ____ _ _ _
16. Total number of individuals surveyed in the household ____ _ _ _

Questionnaire instructions view entire document:  text  image
4.3.3 The fourth page - Questions about fertility and housing.

These questions should be asked only of the head of the household or his representative.

Question 39: Total number of separate dwellings in the household

If the household occupies several separate dwellings (for example, a concession), ask the question, "What is the total number of separate dwellings in your household?"

Write the total number of separate dwellings in the household to the left of the corresponding table.