Questionnaire Text

2006 ACS
2005 ACS
2004 ACS
2003 ACS
2000 5%
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2006 ACS
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2. What is this person's date of birth and what is this person's age?

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Age (in years)[ ][ ][ ]
Month[ ][ ] Day[ ][ ]Year of Birth[ ][ ]

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2.
For each person, print the age at last birthday (print "00" for babies less than 1 year old). Also print the month, day, and year of birth.

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2005 ACS
Questionnaire form view entire document:  text  image

2. What is this person's date of birth and what is this person's age?

Print numbers in boxes

Age (in years)[ ][ ][ ]
Month[ ][ ] Day[ ][ ]Year of Birth[ ][ ]

Questionnaire instructions view entire document:  text  image

2.
For each person, print the age at last birthday (print "00" for babies less than 1 year old). Also print the month, day, and year of birth.

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2004 ACS
Questionnaire form view entire document:  text  image

2. What is this person's date of birth and what is this person's age?

Print numbers in boxes

Age (in years)[ ][ ][ ]
Month[ ][ ] Day[ ][ ]Year of Birth[ ][ ]

Questionnaire instructions view entire document:  text  image

2.
For each person, print the age at last birthday (print "00" for babies less than 1 year old). Also print the month, day, and year of birth.

top
2003 ACS
Questionnaire form view entire document:  text  image

2. What is this person's date of birth and what is this person's age?

Print numbers in boxes

Age (in years)[ ][ ][ ]
Month[ ][ ] Day[ ][ ]Year of Birth[ ][ ]

Questionnaire instructions view entire document:  text  image

2.
For each person, print the age at last birthday (print "00" for babies less than 1 year old). Also print the month, day, and year of birth.

top
2000 5%
Questionnaire form view entire document:  text  image

4. What is this person's age and what is this person's date of birth?
Age on April 1, 2000
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Print numbers in boxes.
Month Day Year of birth
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