Questionnaire Text

Questionnaire form view entire document:  text  image
3. Date of your birth

Consult the attached table.
____ Day
____ Month
____ Year
____ Number of complete years
Questionnaire instructions view entire document:  text  image
Question 3. Your date of birth
The question shall be asked exactly as it is written in a population census.
The day, month and year of birth shall be written in numbers.
For example, if a respondent was born on 12th May, 1946, then it shall be written as "12", "5" and "1946".
After writing date of birth without additional inquiry one shall identify the age by the additional tables on the basis of the known birth year as of the moment of enumeration and write it in numbers in a special zone.
Census taker shall not ask "how old are you" question.
Age shall be identified solely on the basis of a table.
For children under one year of age "0" shall be written.
Information on the age will be used by census taker during further survey in order to promptly identify whether a person shall be asked a question of a population census (for example, a question 8.1 is asked only to individuals of 10 years old and over).