Questionnaire Text

Questionnaire form view entire document:  text  image

12. Is [the respondent's] biological mother alive?
[] 1 Yes
[] 2 No
[] 3 Don't know
Questionnaire instructions view entire document:  text  image

Q12 "Is [the respondent's] biological mother alive?" Continuing with the first person listed "Person 01"; ask if this person's mother is still alive. Shade the appropriate number as follows: 1 for "Yes", 2 for "No", or 3 for "Don't know".