Questionnaire Text

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2. How is each person related to the head of this household?
Fill one circle.
If "Other relative of head", also give exact relationship, for example, mother-in-law, brother, niece, grandson, etc.
If "Other not related to head," also give exact relationship, for example, partner, roomer's wife, maid, boarder's daughter, etc.

[] Head of household
[] Wife of head
[] Son or daughter of head
[] Other relative of head - Print exact relationship

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[] Roomer, boarder, lodger
[] Patient or inmate
[] Other not related to head - Print exact relationship

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