Questionnaire Text

Questionnaire form view entire document:  text  image
IV. Population information

A. Personal characteristics


4. How old are you in years completed?

(For those under one year write 00)

____ Years old

Questionnaire instructions view entire document:  text  image
IV. Information about the Population

A. Personal characteristics:


4. Age
Note with numbers, the age in completed years; for those under one year old, note "00".
When the persons have doubts or do not know their age, try or identify it through some document, through reference to other persons in the household, or through the relationship to historical markers: national, local or family. For example: the age that he/she had during the War of Chaco (1932-35); age that he/she had when he/she got married and the number of years of marriage; age the he/she had at the time of birth of his/her eldest child and the child's current age, etc.

If resorting to these resources it is impossible to determine the age, note the age given and make the corresponding observation.

4. How old are you?
Write the age in years completed.
For persons less than one year old, write "00"
Years completed _____