Questionnaire Text
Questionnaire form
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For person five years old or more
19. Religion
What is the religion of this person? Circle only one answer.
1 None
2 Catholic
3 Other religion
_____Write the name of the religion
Questionnaire instructions
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19. Religion
When the religion is other than Catholic, write it as it is reported. If the answer is "Christian", or "Evangelical", or "Protestant", ask the name of the denomination, congregation, or religious group to which they belong and write this in the space for other religion.