1. Relation to the head of household:
[] 2 Wife/husband
[] 3 Children
[] 4 Son/daughter in-law
[] 5 Grandchildren
[] 6 Parent/in-law
[] 7 Other relative
[] 8 Household servant
[] 9 Other
12. Biological mother lives in this household?
[] 2 No (skip to question 14)
13. Name of biological mother: ____
Serial number of biological mother: ____