Questionnaire Text

Questionnaire form view entire document: text image

For all individuals 14 years of age and older [applies to questions 10 to 16]

15. What is your religion?

[] 1 Catholic
[] 2 Protestant
[] 3 Evangelical
[] 4 Indifferent or atheist
[] 5 ____ Other religion (specify)

Questionnaire instructions view entire document: text image

15. What religion do you profess?

Consult the person being surveyed regarding the religion that they profess and fill in the corresponding circle.

[The above directions refer to a picture of question 15 in this section of the enumeration form.]