Questionnaire Text

Questionnaire form view entire document: text image

2. Are you a man or a woman?

[] 1 Man
[] 2 Woman

Questionnaire instructions view entire document: text image

Question 2. Are you a man or a woman?
If a person you are enumerating is not present, in all cases ask the question; do not be guided by the name.

Fill in the box that corresponds to "Man" or "Woman".