Questionnaire Text

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4. On what date was [the person] born? (day / month / year) _ _ / _ _ / _ _ _ _
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Question 4. On what date was [the person] born?

Write the day and month using two digits, and the year using four digits. For example, if the person was born on March 26, 1976, write as follows:
Day: "26"; Month: "03"; Year: "1976"

There is a table of equivalences giving numeric values for each month of the year in the appendix.