Questionnaire Text

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List A

Record below the people living in the dwelling, including people traveling for business or pleasure, sick people staying in the hospital or in a clinic, fishermen still at sea, personnel navigating planes or ships for a company.

Do not include people listed in the heading of list B opposite this column (read this heading before filling out list A).

If you are housing housekeepers, apprentices or employees in your service at your own home, record them below.

If you have boarders (or children) who are living with you, record them below.

If you are subletting (or leasing) a part of your dwelling, record below your sub-letters (or people you are hosting). Always, if these sub-letters (or hosted persons) are living in totally independent rooms (for example a maid's room entirely separate from the dwelling), these independent rooms are considered as forming a distinct dwelling for which a distinct dwelling form should be established. In this case, do not record the sub-letters in the list below and do not count the rooms which they occupy in the make-up of the dwelling (page 4).

Fill out an individual form number 2 for each person in list A
___ 1 Last name
___ 2 First name
___ 3 Relationship to the head of household
(indicate, for example: head of household, spouse, son, mother, daughter-in-law, nephew, etc. Or: friend, boarder, sub-letter, maid, employee, housed, etc.)

___1
___2
___3
___4
___5
___6
___7
___8
___9
___10
___11
___12
___13
___14
___15

If there are more than 15 people to record, use an additional dwelling form.