Questionnaire Text

Questionnaire form view entire document: text image

I. Answer question 20 if this person is 15 years old or over. Otherwise, skip to the questions for Person 2 on page 12.

22. In the past 12 months did this person get:

c. Divorced?

[] Yes
[] No

Questionnaire instructions view entire document: text image

Person questions 20-24

Answer question 20 if this person is 15 years old or over. Otherwise, skip to the questions for Person 2 on page 19.

P22. Mark the "yes" box only if the person has received a divorce decree in the past 12 months.