Questionnaire Text

Questionnaire form view entire document:  text  image
Person 1 (reference person)

3. Does person 1 live with his/her spouse or partner?

1 [] Yes. Indicate the reference number attributed to the spouse/partner _ _
2 [] No/Not applicable
Questionnaire instructions view entire document:  text  image
Household Identification
Proceed as indicated in chapter 4.
The questions in part a, b and c must be filled out by the household representative or a resident of the dwelling that belongs to the household!

B-Write the name of everyone in the household who resides in this dwelling and answer questions 2, 3, 4 and 5

3. Does person X live with his/her spouse or partner?
[There is an image of question 3]
In case that the answer is Yes, you must indicate the number of the person in the household to who is considered the partner/spouse in a consensual union. This number is the one that is at the beginning of each column (person 1 or person 2, etc.)
[There is an image showing the number that corresponds to the person]
If the person does not have a consensual partner/spouse or if the spouse/partner resides elsewhere, you must mark the option "No/Not Applicable".