Questionnaire Text
Questionnaire form
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A11a Supplementary completed
[] Yes
[] No
A11b If yes in 11a, mark X in the appropriate box
[] Original
[] Continuation Forms
Questionnaire instructions
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(A11a) Supplementary completed: If more than one questionnaire is used for a household mark X in the Yes box, otherwise mark No.
(A11b) Continuation Form: If A11a is Yes, mark X in the appropriate box to distinguish original from continuation form.