Questionnaire Text

Questionnaire form view entire document: text image

Questions 9 through 24 are only addressed to people 14 years old or more
[Questions 9-24 were asked only of persons 14 years or older.]

11. What is your situation?

You work
[] 1 Check the box and continue to the back of the page (questions 15 to 24) including if you are on sick leave or maternity leave, if you help a member of your family in his/her work or if you are apprenticed under contract, or a salaried intern. [skip to question 15]
You don't work (or no longer work)
[] 2 Check the box and answer questions 12 to 14

[Questions 12-14 were asked of persons who do not work per question 11.]

12. Are you a _?

[] 1 University student (university, IUT, teacher-training school, etc.)
[] 2 Student (middle school, high school)
[] 3 Unpaid intern
[] 4 Unemployed (registered or not with the ANPE)
[] 5 Early retirement
Retired
[] 6 Former employee
[] 7 Former independent worker (farmer, artisan, businessman, etc.)
[] 8 Other (woman or man working from home, person receiving only a surviving spouse's benefit, disability retirement, etc.)

14. Have you worked before?

[] 1 Yes

What was your main profession? ______

[] 2 No