Questionnaire Text

Questionnaire form view entire document:  text  image

For all individuals:
[Questions 1-10 -- are for all person]


4. What is your current marital status?

[] Consensual union
[] Married
[] Separate
[] Widowed
[] Single
[] Divorced

Questionnaire instructions view entire document:  text  image

Questions 1-10 -- are for all persons

Every person in the household should be asked these questions.

-- In the case of people who are absent or of small children, ask the Head of Household or the person who can give the most reliable information.


Question No.4

[Marital status]
[The instructions refer to a graphic of section VI, question 4 on the census form.]

-- Read the question and the possible answers and fill in the corresponding cell.