Questionnaire Text

Questionnaire form view entire document:  text  image

30. What kind of ancestry do you think you have?
Afro or black

[] 1 Yes
[] 2 No


Asian

[] 1 Yes
[] 2 No


White

[] 1 Yes
[] 2 No


Indigenous

[] 1 Yes
[] 2 No


Other (specify): ________

[] 1 Yes
[] 2 No


Does not know

[] 1 Yes
Questionnaire instructions view entire document:  text  image

30. What kind of ancestry do you think you have?

For each option it will be signaled if the person believes to have family ancestors of that race or not. If the person is not familiar with this information, circle the option "Does not know".