Questionnaire Text

Questionnaire form view entire document:  text  image
[Questions 25-44 were asked of persons age 10+.]

40. Ever been married?

[] Yes (go to 41)
[] No (Finish)

[Questions 41-43 were asked if the person ever been married.]

41. How many times?

[] 1
[] 2
[] 3
[] 4+

42. Present marital status:

[] Married
[] Widowed
[] Div/p.s.