Questionnaire Text

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A. For all of the persons in the dwelling
[Applies to questions 26 - 33]


30. Is your mother still alive?

[] 1 Alive
[] 3 Dead
[] 5 Do not know

Questionnaire instructions view entire document:  text  image

Question No. 30 Is your mother still alive?

[Below the text is a form.]

This question refers to the mother of each person. Be careful that the interviewed person is responding in relation to the person about whom they giving the information and not in relation with themselves or any other person.

Mark "x" in the corresponding box.