Questionnaire Text

Questionnaire form view entire document: text image

5. Date and place of birth

Born : (day, month, year) ____
in (city): ____ (for Paris, Lyon, Marseille, specify the district)
County: ____ (country for foreigners, territory for the T.O.M.)

Questionnaire instructions view entire document: text image

Question 5: Date of and place of birth
a) The department to write down here is the present name of the place of birth, meaning at the time of the 1975 census. Thus, a person born in the Seine community or the Seine- et- Oise before July 10, 1964 will have to indicate, whatever the case may be, one of the seven new departments of that Parisian region, that is to say: Paris, Essonne, Hauts- de- Seine, Seine- Saint- Denis, Val- de- Marne, Val- d'Oise or Yvelines.
b) Ask for a complete birth date for each person. Then, carry out the following checks:
- a person born before January 1st, 1968: make sure that question 7 always has an answer.
- a person of 16 years of age or more (that is to say born before February 20th, 1959): make sure that questions 7 to 10 are always answered and check questions 11 to 18 on the back page of the individual form (see hereafter).