Questionnaire Text

Questionnaire form view entire document: text image

Data on dwelling

Data on building: please complete only if you are the owner or manager of this building
[Questions 1 to 4 were asked only of the owner or manager of the building]

3. Year of construction (year ready for occupation)

If extensions and conversions were made, the year of original construction is to be indicated. In the case of reconstruction following total loss, state the year of reconstruction.

[] Up to 1900
[] 1901-1918
[] 1919-1948
[] 1949-1957
[] 1958-1962
[] 1963-1987

[Years were listed individually between 1963 and 1987, but those are omitted in this version of the form]