Questionnaire Text

Questionnaire form view entire document: text image

Section V. Characteristics of the population

12. Are you able to read and write?

[] 1 Yes
[] 2 No

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For people of 3 years of age and older
[Questions 11 to 15 are asked of persons age 3 or older]

Question 12: Are you able to read and write?

If he/she can read and write in any language, fill in the oval of the option 1, "yes".

If the person writes and reads using the Braille system, fill in the option 1, "yes".

If he/she can only sign, write his/her name and some numbers, fill in the oval of option 2, "no".