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Appendix 1. General survey form
Number___
Village____ Township___ County___
I. Information on subject (women over 17 years old)
Name___
Date of birth: Month___ Year___
Place of birth:
Village___ Township___ County____ Province___ Educational level___
Marital status___
Present address:___
Village___ Township___ County___ Province___
Occupation___ Main profession___
II. Information about members of subject's family
| Relationship to subject | Age | Education level | Occupation | Main profession | Remarks |
Family size: Total___ Women___ Men___
Type of family production___
Family income in 1985: Total___ yuan RMB Net___ yuan RMB
Date of completion of form:
Day___ Month___ Year___