Questionnaire Text

Questionnaire form view entire document: text image

2. What relationship or relation do you have with the head of dwelling?

Mark the appropriate box.

Person 01

[] 1 Head

Persons 02 - 03

[] 2 Spouse or partner of head
[] 3 Son or daughter
[] 4 Other relative (specify) ____
[] 5 Not related (specify) ____

Questionnaire instructions view entire document: text image

Question 2 What relationship or relation do you have with the head of dwelling?

Mark the corresponding box in agreement with the relationship or relation that the person has with the Head.

[Below the text is a picture of a family]

In the space corresponding to "Other relative" and "No relative" specify the relationship or relation that the person has with the Head of the Dwelling.