Questionnaire Text

Questionnaire form view entire document:  text  image

[Questions 4-28 were asked only of residents present at the time of the census.]


4. Date of birth

____ Day ____ Month ____ Year

Questionnaire instructions view entire document:  text  image

Note: For individuals that reside elsewhere different from where they are staying at 0:00 o'clock of April 15, 1991, end the filling-in of the questionnaire here.
[Applies to questions 4-28]


Question 4: Date of birth

The indication of the year is of extreme importance.

Note: This question cannot be left blank (day, month and year).