Questionnaire Text

Questionnaire form view entire document: text image

11. Is he/she

[] 1. Jew
[] 2. Moslem
[] 3. Greek-Catholic
[] 4. Greek-Orthodox
[] 5. Latin (Catholic)
[] 6. Druze
[] Other Christian ____
[] Other ____

Questionnaire instructions view entire document: text image

Question 11: Is he/she: Jewish, Moslem etc.?

Circle the appropriate number.
11a. If a person is Christian, belonging to a different congregation from the main three mentioned in the questionnaire, like Baptist, you have to write it on the dotted line without marking a circle,
Attention: there is no number near it (Other Christian category).
[The original form includes an illustration of the question's categories including: Jewish, Moslem, Catholic Greek, Orthodox Greek, Latino (Catholic), Other Christian]
Examples of Christian congregations: Armenian-Catholic, Armenian Orthodox, Russian Orthodox, Coptic Orthodox, Coptic Catholic, Anglican, Baptist (See supplementary list on page 96).

11b. If the person is not Jewish, Moslem, Christian or Druze -- write down the group that he belongs to, on the dotted line at the end of question 11 -- "other" (like: Samaritan, Bahaman).
Here too, do not circle any number. (Attention, there is no number near the 'other' category).

11c. If you encounter answers like Atheist, Canaanite, Israeli etc., write the answer given by the person, under 'other'.