Questionnaire Text

Questionnaire form view entire document:  text  image

A. General characteristics (for all the persons in the household).
[Applies to questions 1 - 9]


3. Man or woman?

[] 1 Man
[] 2 Woman

Questionnaire instructions view entire document:  text  image

Section A. General characteristics

[Below the text is a form.]

Section A. General characteristics will be filled out for all the persons of a census household who spent the night of October 23 to 24 in the dwelling.

Do not forget to include newborns, minors and the elderly.
[Applies to questions 1 - 9]


Question No. 3. Sex

[Below the text is a form.]

Mark with an "x" the box corresponding to the sex of each person. In the case of names that are used indistinctively for both sexes, ask.