Questionnaire Text

Questionnaire form view entire document:  text  image

[Questions 1-24 asked only of those 14 years of age or older.]


3. Did you marry and when?

[] Did not marry. Mark and pass to question 6 [skip questions 4-5]
[] Married once -- Mark year of marriage: 19_ _
[] Married more than once -- Mark years of marriages:

First: 19_ _
Last: 19_ _