Literal question
<span class="em">For all persons</span>
<br />[Questions in columns 1 to 11 were asked of all persons]</p>
<p>Now we would like to ask for information on you and the persons habitually living in your household or currently residing in your home</p>
<p>(5) Date of birth</p>
<div class="i1">In which month and year is [the respondent] born? Write in the grid the declared month and year of birth<br /><br />Month _ _<br />Year _ _ _ _</div>