Questionnaire Text

Questionnaire form view entire document: text image

Table 1: Family characteristics
[Questions 1-7 for all persons]

[Questions in table 1 can be answered for up to 7 people]

5. Religion

[] 1 Muslim
[] 2 Christian
[] 3 Jewish
[] 4 Other ____

Questionnaire instructions view entire document: text image

Table 1: Household characteristics

5. Religion
There is one square; one of the following 4 options is recorded: (1) Muslim, (2) Christian, (3) Jewish, and (4) Other.