Questionnaire Text

Questionnaire form view entire document:  text  image
Section D: Questions about the Population
Enumerator: Ask questions to all of the people listed in Section C.

[Question 6 through 36 were asked to the residents]

6. What is (the person)'s race/origin?

[] 1 Black
[] 2 Mixed
[] 3 White
[] 4 Indian
[] 5 Pakistani
[] 6 Other
Questionnaire instructions view entire document:  text  image
P6. Say whether (the person) is

Read the question and each of the alternatives for response (black, mixed, white, Indian, Pakistani or other). Write an X in the box with the corresponding number.
A person's race is not always of easy identification. In order to be sure, you should ask them what their race is. Remember that there should always be an answer to this Question.

When asked about your race/origin, you should respond:

Black
Mixed
White
Indian