Questionnaire Text

2017 ACS 2012 ACS 2007 ACS 1970 Form 1 Metro
2016 ACS 2011 ACS 2006 ACS 1960 5%
2015 ACS 2010 ACS 2005 ACS 1950 1%
2014 ACS 2009 ACS 1980 5% 1880 10%
2013 ACS 2008 ACS 1970 Form 2 Metro 1870 1%
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2017 ACS
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4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2016 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2015 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2014 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2013 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2012 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2011 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2010 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2009 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2008 ACS
Questionnaire form view entire document:  text  image

4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image

4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

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2007 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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2006 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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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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1980 5%
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b. Month of birth
Print month and fill one circle.
[] Jan. - Mar.
[] Apr. - June
[] July - Sept.
[] Oct. - Dec.

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1970 Form 2 Metro
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6. Month of birth
Fill one circle
[] Jan. - Mar.
[] Apr. - June
[] July - Sept.
[] Oct. - Dec.

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1970 Form 1 Metro
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6. Month of birth
Fill one circle
[] Jan. - Mar.
[] Apr. - June
[] July - Sept.
[] Oct. - Dec.

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1960 5%

No questionnaire text is available for this sample.


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1950 1%
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11. How old was he on his last birthday? (If under one year of age, enter month of birth as April, May, Dec., etc.)
Questionnaire instructions view entire document:  text  image

Item 11. Age last birthday

122. Item l l. Age at last birthday.-Enter the age of the person at his last birthday as of the date of your call. For persons 1 year old and over, this question calls for the age in completed years at last birthday.

123. Ages of infants.-The entry for children less than a year old should indicate the month of birth. For example, the entry for a child born in March, 1950, should be "March." It is permissible to abbreviate where necessary in entering the name of the month, for example "Dec." for December.


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1880 10%

No questionnaire text is available for this sample.


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1870 1%

No questionnaire text is available for this sample.