Questionnaire Text

Questionnaire form view entire document:  text  image
E. Persons 16 years or over.
Write "single", "married", "widowed", or "divorced" (See note 4). ____

G. All married women.

Write at (i) the date of her present marriage.
(i) ____
Has she been married more than once? Write "yes" or "no" at (ii).
If "yes" fill in column H
(ii) ____

H. Widowed or divorced women or women married more than once.

Write at (i) the date of first or only marriage.
It is only answered if part (ii) or question G was "yes".
(i) ____
Write at (ii) the date when that marriage ended (See note 6).
(ii) ____
Questionnaire instructions view entire document:  text  image
4. Marriage, etc. (Column E)

If a person is legally separated, not divorced, write ''Married".

6. End of first marriage (Column H)

Write at (ii) the date of her first or only husband's death or date of divorce.