Questionnaire Text

Questionnaire form view entire document:  text  image
Section V. Characteristics of the population (continued)

26. What is your religion?

(Fill one oval only)

[] 1 Catholic
[] 2 Evangelical
[] 3 Other (specify) ____
[] 4 None
Questionnaire instructions view entire document:  text  image
For persons of 12 years of age and older
[Questions 24 to 26 are asked of persons age 12 or older]

Question 26: What is your religion?

If the respondent answers that he/she is an Adventist, Jehovah's Witness, Orthodox, Buddhist, Israelite, Mormon (Church of Jesus Christ of Latter-day Saints), Islam or Hare Krishna, agnostic, among others, then fill in the oval of option 3, "Other" and write down the answer accordingly.

If he/she answers that he/she does not profess any religion, fill in the oval of the option 4, "none".