A. General characteristics
3. What is your date of birth?
Year ____
Month _ _
Day _ _
3. What is your date of birth?
Request the year, month, and day of birth and record them in the space provided. If the month and day number is less than ten, a zero is placed in the first box. E.g. the person was born on May 9, 1964.
Year: 1964
Month:05
Day:09