Questionnaire Text

Questionnaire form view entire document:  text  image
For persons age 17 years and below
[Question 12 and 13 were asked of persons age 17 years and below]

13. Is (the respondent's) mother by birth alive?

[] 1 Yes
[] 2 No
[] 9 Not known
Questionnaire instructions view entire document:  text  image
Section B: For all Persons
Begin by saying, "I would like information on ALL people who stayed at this household on the census night. This information is on the names of the persons, their relationship to head of household, their age and sex, survivorship of their parents etc. It is important that you give me as accurate information as possible about each person".

Q12 and Q13 Parental survivorship
These questions should be asked to members of the household who are 17 years and below including visitors in respect of the person's biological father and mother. In some cases, check with question 2 for consistency. Ask survivorship of each parent separately.