Questionnaire Text

Questionnaire form view entire document: text image

Professional activity (for all persons born before January 1st, 1954)
[Applies to questions 12- 18]

16. Business (industrial or other) Farm, etc, which you are in charge of or where you work

a. Name (or corporate name) and address:

Name ____
Street ____
Number ____
City (for Paris, Lyon, Marseille, include the city neighborhood) ____
Department ____

b. Purpose of this business: ____
Be specific: Examples: whole-sale wine production, retail grocery store, manufacture of steel structures, cotton mill, highway transport of passengers, truck farmer, etc.
c. If you are not working at the address of the business, indicate the address of your usual workplace:

Street ____
Number ____
City (for Paris, Lyon, Marseille, include the city neighborhood) ____
Department ____

If, during your work, you must travel a lot (for example, train personnel of the S.N.C.F., bus drivers, etc.) indicate the place where you go ordinarily to do your work (train station, bus depot, etc.)
If you do not always do your work at the same place (for example, travelers on business), answer "variable".
If you work at home, indicate "at home".

Questionnaire instructions view entire document: text image

Question 16: Where do you work?
This question affects each person who has declared a profession in question 11, including employees of public services, of local communities and government employees who should indicate in 16b the name of the administration which employs them.
Some people have several employers (housemaids working for several individuals). In this case, indicate the main employer (this is to say the individual where the person completes the most number of hours).
In some cases, the address of the workplace (question 16a) can coincide with that of the home (merchants especially): it is necessary nevertheless to write it down again.