Questionnaire Text

Questionnaire form view entire document:  text  image
Individual questionnaire

5. Date of birth:

Day _ _
Month _ _
Year _ _ _ _
Questionnaire instructions view entire document:  text  image
7.2.4. Individual

Question 5- Date of Birth
[There is an image of question 5]
The answer to this question is very important.
If the person does not remember his/her date of birth, the enumerator must ask about other member's date of birth or important events to obtain it.