Questionnaire Text

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For women 12 years of age and older [Applies to questions 66-72.]

D. Fertility Characteristics

71. Of how many do you not know the place of residence?

____ Total
____ Males
____ Females

Questionnaire instructions view entire document: text image

For women 12 years of age and older

Question 71: [Of your children,] how many have an unknown place of residence?

The number of males and females is recorded.

The circles are filled in.