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PHASE I

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3. What is or was your occupation?<br />

[Be specific. For example: legal secretary; high school mathematics teacher; or salesperson in a<br />

department store, etc.]<br />

4. In what city, town or village do you reside?<br />

5. What is your gender?<br />

[Circle the number that corresponds to the right answer.]<br />

Female .............. 1<br />

Male ................. 2<br />

Other ................. 3<br />

6. What is your maternal language or languages (the language or languages that you first learned in<br />

childhood and still understand)?<br />

[Circle the number corresponding to the right answer.]<br />

French .............................. 1<br />

English ............................. 2<br />

French and English ............... 3<br />

French and other ................. 4<br />

English and other ................. 5<br />

French, English and other ....... 6<br />

Other ............................... 7 Specify :<br />

7. What is your approximate personal annual income?<br />

415<br />

PÔLES CULTURELS DE LA FRANCOPHONIE CANADIENNE - <strong>PHASE</strong> I

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