Questionnaire Text

Questionnaire form view entire document:  text  image

28. Currently, are you: in a consensual union, single, married, divorced, widowed, or separated? Mark only one box.
[ ] 1 In a consensual union
[ ] 2 Single
[ ] 3 Married
[ ] 4 Divorced
[ ] 5 Widowed
[ ] 6 Separated
[ ] 9 Don't know
Questionnaire instructions view entire document:  text  image

For all people 12 years of age and older

E. Marital or conjugal status

Question 28.- Are you currently in a consensual union, single, married, divorced, widowed or separated?

[There is a picture of question 28 from this section of the enumeration form.]

Always ask this question. In no case should you assume the marital or conjugal status of a person being enumerated. Remember that the current marital or conjugal status is being investigated. Example: If a person was married and currently is in a consensual union, mark box 1, In a consensual union, with an x.

[There is a drawing of a man wearing a ring and the box for "married" is checked.]

[Pages. 58-59 were not translated into English.]