Questionnaire Text

Questionnaire form view entire document:  text  image
2. How is this person related to Person 1?
[ ] Husband or wife
[ ] Biological son or daughter
[ ] Adopted son or daughter
[ ] Stepson or stepdaughter
[ ] Brother or sister
[ ] Father or mother
[ ] Grandchild
[ ] Parent-in-law
[ ] Son-in-law or daughter-in-law
[ ] Other relative
[ ] Roomer or boarder
[ ] Housemate or roommate
[ ] Unmarried partner
[ ] Foster child
[ ] Other nonrelative
Questionnaire instructions view entire document:  text  image
3. Mark the appropriate category to describe the relationship of each person to Person 1. If the person is related to Person 1 by birth, marriage, or adoption, but is not the Husband or wife, Son or daughter, Brother or sister, Father or mother, Grandchild, or In-law, of Person 1, mark the "Other relative" box. Therefore, a niece or nephew of Person 1 would be categorized as "Other relative." A parent-in-law, son/daughter-in-law, or brother/sister-in-law of Person 1 would be categorized as an "in law."

If a person is a stepchild or an adopted child of Person 1, mark the "Son or daughter" box.

If a person is not related to Person 1, mark the applicable box. A "Roomer or boarder" is someone renting a room/space in the house. A "Housemate or roommate" is someone sharing the house/apartment (but who is not romantically involved) with Person 1. An "Unmarried partner," also known as a domestic partner, is a person who shares a close personal relationship with Person 1. A "Foster child" is someone under the age of 18 who is involved in the formal foster care system. For all other people who are not related to person 1 mark "Other nonrelative".