Questionnaire Text

Questionnaire form view entire document:  text  image

Mark the sex
[] Male
[] Female


2. Sex

[] Male
[] Female

Questionnaire instructions view entire document:  text  image
Column 3


After the relationship is recorded, the sex (male or female) is recorded for each person included in the list.

The question should be asked since the person's sex cannot be determined by the name only. There are names that are common for both [sexes].

Question 2


-- Sex

The sex of the person is indicated here. The information for this question should be obtained from Section III, column 3.