Questionnaire Text

Questionnaire form view entire document: text image

Section V. Characteristics of the population

3. What is the date of birth?

Day _ _
Month _ _
Year _ _ _ _

Questionnaire instructions view entire document: text image

For all persons
[Questions 1 to 10 are asked of all persons]

Question 4: How old is he/she?

Record the age of the respondent on census day, not the age of the respondent's next birthday.
For children under 10 years of age, enter the age to one digit in the appropriate box.
If the respondent is less than 1 year old, enter zero (0).

[Four examples of a filled out question 4 are omitted here.]