Questionnaire Text

Questionnaire form view entire document: text image

Section IV. Population information

For individuals 10 years of age and older.

12. What is your religion?

[] 1 None
[] 2 Catholic
Other ____

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For persons 10 years old and more

Question 12: What is your religion?

Mark one of the three options. If the answer is other (different from Catholic), write the name of the religion in the blank space that is indicated with an arrow.

12. What is your religion?

[] 1 None
[x] 2 Catholic
Other _____