Questionnaire Text

Questionnaire form view entire document:  text  image
All residents
[Question 21 through 25 were asked of all resident persons.]

24. Is mother living?

[] 1 Mother living (mv)
[] 2 Mother deceased (md)
[] 3 Don't know (nsp)
Questionnaire instructions view entire document:  text  image
Question 24: Whether mother is living
Ask: "Is your mother living?" Then, circle the code that matches the correct answer.

[] 1 MV: mother living
[] 2 MD: mother deceased
[] 3 NSP: doesn't know

Note: The father and mother in Columns 24 and 25 are the biological parents of the individual, i.e. the man and woman who gave birth to him.