Questionnaire Text

Questionnaire form view entire document:  text  image

[Questions 3.1-21 were asked of persons who consider this living quarter their usual place of residence, according to question 3]


4. Date of birth:

Day _ _
Month _ _
Year _ _ _ _

Questionnaire instructions view entire document:  text  image

Question 4 - Date of birth

This question cannot be left blank. (Day-month-year)