Person number (within household)

B. From the list, this is the [space for the number] family within the dwelling: ____ Write "unique", when there is only one family; 1st, 2nd, 3rd, etc, when there are more than one families. [The following questions are organized into a table. Each question appears in a column, in the order depicted below from left to right, and there 15 rows for each person's answer.] Reference Number [pre-printed two digit number, 01 through 15] Reference person's complete name: ____ First and last name to all other persons. Example: Maria Fernanda Silva Relationship to household's reference person ____ Family relationship with the head of the household: (you should mention, in the column right next to the name, what is the relationship with the head of the household according to the following list): [] Representative of the family [Head of the household; pre-filled for person 01] [] Husband [] Wife [] Single son/daughter [] Non-single son/daughter [] Daughter-in-law [] Son-in-law [] Father [] Mother [] Grandchild [] Great-grandchild [] Other Relative [] Not related Indicate the spouse/partner's reference number: _ _ For married people who live together in the same dwelling Indicate the reference number of [your parents]: For single people who live in the same dwelling as parents, father or mother. _ _ Father _ _ Mother

[Questions 5-27 were asked of residents of the housing unit, per question 4] 6. Date of birth Day _ _ Month ____ Year 1 _ _ _

3. Citizenship One citizenship: [] 99 Portuguese only [] Foreign. Specify from which country: ____ [] 98 More than one citizenship [] 97 Stateless

[Questions 5-27 were asked of residents of the housing unit, per question 4] 7. Marital status [] 1 Single [] 2 Married [] 3 Widowed [] 4 Separated [] 5 Divorced Question 7 - Marital Status Married: refers to the person who is legally married or living in an equivalent situation. The married condition (legal or de facto) dominates over any other prior status. Separated: is every person who, after having been married, separated herself from her spouse, even when the separation has not been legally recognized.

Family type

[Questions 5-27 were asked of residents of the housing unit, per question 4] [Questions 17-27 were asked of persons age 12+] 19. Religion (answer is optional) [] 1 Catholic [] 2 Orthodox [] 3 Protestant [] 4 Other Christian [] 5 Jewish [] 6 Muslim [] 7 Other non-Christian [] 8 Without religion

[Questions 5-27 were asked of residents of the housing unit, per question 4] 14. Residence on December 31st, 1973 If you were born, please indicate where was your usual place of residence on December 31, 1973: [] 0 In the municipality where you live [] In other municipality, please specify: ____ [] 1 Macau [] 2 Angola [] 3 Mozambique [] 4 Guiné-Bissau, Cape Verde, S. Tomé and Principe or Timor [] 5 France [] 6 Germany [] 7 In other country of Europe [] 8 United States of America and Canada [] 9 Any other country in the world

[Questions 5-27 were asked of residents of the housing unit, per question 4] 14. Residence on December 31st, 1973 If you were born, please indicate where was your usual place of residence on December 31, 1973: [] 0 In the municipality where you live [] In other municipality, please specify: ____ [] 1 Macau [] 2 Angola [] 3 Mozambique [] 4 Guiné-Bissau, Cape Verde, S. Tomé and Principe or Timor [] 5 France [] 6 Germany [] 7 In other country of Europe [] 8 United States of America and Canada [] 9 Any other country in the world

[Questions 5-27 were asked of residents of the housing unit, per question 4] 13. Residence on December 31st, 1979 If you were born, please indicate what your usual place of residence was on December 31, 1979: [] 1 In the municipality where you live In other municipality, please specify: ____ [] 2 Macau [] 3 Angola, Mozambique, Guiné-Bissau, Cape Verde, S. Tomé and Principe or Timor [] 5 France [] 6 Germany [] 7 In other country of Europe [] 8 United States of America and Canada [] 9 Any other country in the world