Questionnaire Text

Questionnaire form view entire document:  text  image

Section A: Information for persons in the household -- ask of everyone
[Section A of this form, each question has 10 answer rows for writing individual answers for up to 10 individuals in the household. Only the first is shown here, which is exactly the same as the other nine.]


Mother alive

P-14. Is (the person's) own biological mother still alive? Dot the appropriate box.

[] Y = Yes
[] N = No
[] D = Do not know

P-14a. _ _ (Person no.) If yes, who in this household is (the person's) mother? For

example, if the mother is the person listed in row 2, write [0] [2]. If the mother
does not live in this household, write [9] [9] in the appropriate boxes.

Questionnaire instructions view entire document:  text  image

Question P-14 -- Mother alive

Question 14 has two parts, P-14 and P-14a. Everyone answers the first part. Those who answer "Yes" must answer the second part as well.

P-14 "Is (the person's) own biological mother still alive?

Biological mother means not a stepmother, or mother by adoption.

Dot one alternative:

Y = Yes
N = No
D = Don't know


Answer "don't know" only if nobody in the household can help you with the correct answer.

If "No" or "Don't know" skip P-14a and go to P-15.

If "Yes" go to Question P-14a.

P-14a "Who in this household is (the person's) mother?"

If the person's mother is a member of this household, give the row number of the mother in the boxes. For example, if the person's mother is the household head, write "01". Or maybe the person's mother has been listed in row 14 on questionnaire 2, so you will write "14".

If the person's mother does not live in the same household write "99".