Questionnaire Text

Questionnaire form view entire document: text image

IV. Population information

6. Is your mother alive?

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document: text image

IV. Information about the Population

6. Orphans
Mark the box "yes" when the mother of the enumerated person is alive at the census date. Mark "no" when she has already died.

6. Is your mother still alive?

[] 1 Yes
[] 2 No