Get questionnaire - HLA-net

Ge ne [VA] - IndividualQue s tionnaire
Elem e nts for th e ch aracte ris ation and de s cription ofindividuals in s am ples ofpopulations for
us e in anth ropologic and h um an pe opling h is tory s tudie s
Sam pling date :
Sam pling place :
Sam ple re corde d by:
Population nam e and/or code :
IndividualID (num be r):
Se x:
Fe m ale
Male
Las tnam e (s ):
Firs tnam e (s ):
De tailed localindividualide ntification (nick nam e s , clans , line age s , ...)
Birth date (or its e s tim ation):
Birth place :
DD/MM/YYYY
Curre ntre s ide nce
Pre vious re s ide nce s (date s and place s ):
for individual:
for pare nts or grandpare nts (pleas e s pe cify) ofindividual:
Source - http://hla-net.eu/guidelines/
Individual questionnaire - 1/2
Pe digre e re lations h ips w ith oth e r s am pled individuals in de tailed e urope an nom e nclature :
(th e us e oflocalclas s ificatory te rm inologie s m us tbe avoide d s ince th e y m ay be non s ignificantin te rm s ofbiological
k ins h ip;pleas e care ofe rrone ous e urope an trans lations oflocalk ins h ip vocabulary)
s on /daugh te r ofindividual:
h us band /w ife ofindividual:
fath e r /m oth e r ofindividual:
broth e r /s is te r ofindividual:
oth e r:
Know n dis e as e s (e .g. m alaria):
Language (s ) s pok e n:
ofindividual:
offath e r:
ofm oth e r:
De clare d e th nic origin:
ofindividual:
offath e r:
ofm oth e r:
Mate rialcollecte d (nature , q uantity):
Spe cialre m ark s :
Individual questionnaire - 2/2
Source - http://hla-net.eu/guidelines/