Questionnaire Text

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E. Marital Status

For all individuals 12 years of age and older

21. Are you in a consensual union, single, married, divorced, widowed, or separated?
[] 1 Consensual union
[] 2 Single
[] 3 Married
[] 4 Divorced
[] 5 Widowed
[] 6 Separated
[] 9 Unknown

Questionnaire instructions view entire document:  text  image
E. Marital or conjugal status

This question is for men and women 12 years of age and older.

Question 21. Are you in a consensual union, single, married, divorced, widowed or separated?

Read the question as it is written. Mark the box corresponding to the answer given.