11EX-14-1
Description:
When was your spouse or common-law spouse born?
Item type: Question
Question text:
When was your spouse or common-law spouse born?
Answer type: Enumerated
Answer choices:
1 Japanese calendar date(1:Meji, 2:Taisyo, 3:Syowa, 4:Heisei): ____________________
2 Western calendar date: ____________________
3 Don't know
4 Refused to answer