Questionnaire Text

Questionnaire form view entire document: text image

Section A:

To be completed for each person in the household in a separate column. Remember to include babies. Please include yourself.

3. What is (each individual's) relationship to (the person listed in column 1)? (Of the first questionnaire, if applicable)

[] 1 = Head/acting head of household
[] 2 = Husband/wife/partner
[] 3 = Son/daughter/stepchild/adopted child
[] 4 = Brother/sister
[] 5 = Father/mother
[] 6 = Grandparent
[] 7 = Grandchild
[] 8 = Other relative (e.g. in-laws)
[] 9 = Non-related person