Questionnaire Text

Questionnaire form view entire document: text image

[Questions 11-18 were asked of persons age 5 or older]

13. What is [the person]'s religion?

[] 01 None
[] 02 Catholic
[] 03 Evangelical
[] 04 Moravian
[] 05 Jehovah's Witnesses
[] 06 Jewish
[] 07 Muslim
[] 08 Other

Questionnaire instructions view entire document: text image

For persons age 5 or older (Questions 11-18)

Question 13. What is [the person]'s religion?

Mark an "X" next to the option stated by the informant.