Sociodemographic questionnaire
VII. Sociodemographic characteristics
5. List of persons - What are the names of all the residents of this home?
(Please include the names of guests, domestic workers, and workers' families at the end of the list.) _______
10. Date of birth - What is [the respondent] date of birth?
Day _ _
Month _ _
Year _ _ _ _
[Response options for spaces provided above:]
99 - Day and moth, not specified
9999 - Year, not specified