Questionnaire Text

Questionnaire form view entire document:  text  image
A. General characteristics


4. Sex

[] 1 Male
[] 2 Female

Questionnaire instructions view entire document:  text  image
4. Is the person a man or woman?
Mark the circle that identifies the sex of the individual. If the person is present, the answer is recorded without asking the question. Ask the question only if the person is absent and the name could be used for either a man or a woman.