Questionnaire Text

Questionnaire form view entire document:  text  image
Birth date

_ _ 5. Month
_ _ 6. Year

7. Age at last birthday _ _

[] Lunar calendar (check if date of birth is stated in the lunar calendar)
[] Under one year
[] Aged 100 or over
Questionnaire instructions view entire document:  text  image
Column 7 -Age
This column is concerned about the number of full years an individual has lived e.g. all individuals older than 15 and less than 16 are considered 15 year-old.
? For infants less than one-year old put X in the "les than one-year old" box and leave the rest blank.
? For individuals 100-year or older put X in the "100-year and older" box and leave the rest blank.
? For the rest of individuals, write the age as a two-digit number in the corresponding boxes in column 7.
? For all individuals whose date of birth is based on lunar hidjri calendar, subtract the year from 1432 and write the result in column 7.
? For individuals whose date of birth is unclear, accept the age that respondent reports. If the respondent is not sure, try to calculate the date of birth by comparing the individual's age with the ages of other members of the family.
To fill some of other columns in the questionnaire correctly, ages of individuals should be calculated accurately. Consider the summary table on page 86 when filling columns 5-7.