Survey Text

1987
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1987
Survey form view entire document:  text  image
Fill Table AC for two most recently adopted.

TABLE AC

M5
Enter adoptive mother's person number

PERSON NUMBER ____

(I have a few additional questions about the adopted child(ren).)
4. What is the name of the child who -- adopted ((most recently/before (name in 4)))?

Adopted child ____
Person number ____
First name ____
[] Not hhld. member