Questionnaire Text

Questionnaire form view entire document:  text  image
1. List of people
Please, tell me the names of all the people that usually live in this dwelling, including young children and old people. Also, include any domestic worker that sleep here.
Begin with the head of household.
[Record the name of all persons in the line]

[] 1 Person 1 ____ [head of the household]
[] 2 Person 2 ____
[] 3 Person 3 ____
[] 4 Person 4 ____
[] 5 Person 5 ____
[] 6 Person 6 ____
Questionnaire instructions view entire document:  text  image
4. Identification of the mother and 5. Identification of the father
These questions identify the parents of each person residing in the dwelling. Also these questions identify if parents are alive. Read the questions, if the answer in one of the two is "in this dwelling" asks "who is he/she?", and immediately identify the number of that person in Section II "List of People", search for the person's number provided by the informant and write it in the space designated for this question.

[Figures are omitted]

If the answer is "in another dwelling, died or do not known", circle the codes 96, 97 or 98, respectively. When the informant had told you the information about the relationships between the habitual residents, check the information as follows:

[] Is Mrs. Patricia Edgar's mother?
[] You said Carlos is the father of all your children; so is Carlos the father of Tania?