Questionnaire Text

Questionnaire form view entire document:  text  image
D. Sex "M" or "F" and age in years at last birthday and completed months since then (See Note 3).

Sex: _
Years ____
Months ____
Questionnaire instructions view entire document:  text  image
3. Age (Column D)

(a) If the age is not known exactly, give it as accurately as possible.
(b) Even where the birthday is only a few days after Census day, the required age is the number of years at the last birthday and 11 months.
(c) For babies under one month old, write "Under I month".