Questionnaire Text

Questionnaire form view entire document:  text  image

3. Sex: Mark the appropriate box.
[] 1 Male
[] 2 Female

Questionnaire instructions view entire document:  text  image

Question 3 Sex

Mark the corresponding box. Do not use the name to deduce the sex of the person since there are names common to both sexes like ConcepciĆ³n, Gertrudis, Rosa, Carmen, Isabel, etc.