Questionnaire Text

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2. How is this person related to the person in column 1 [i.e., to the householder]?
Fill one circle. If "other relative" of person in column 1, give exact relationship, such as mother-in-law, niece, grandson, etc.

If relative of person in column 1:

[] Husband/wife
[] Son/daughter
[] Brother/sister
[] Father/mother
[] Other relative

____ Specify


If not related to person in column 1:

[] Roomer, boarder
[] Partner, roommate
[] Paid employee
[] Other nonrelative

____ Specify


[Fill a circle to show how each person is related to the person in column 1. A stepchild or legally adopted child of the person in column 1 should be marked son/daughter. Foster children or wards living in the household should be marked roomer, boarder.]