C:\MyFiles\457w99\NatGroupObsForm

Name: ________________ SSN: __________________

Observation data, natural groups

Location Size No. Men No. Women Age composition*

C T YA MA SA

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* For age composition, enter how many of category in the group. Abbreviation key:

C= Children T=Teens

YA=Young adults (20s & 30s)

MA=Middle-aged adults (40s & 50s)

S=Senior adults (60s and older)

*You'll have to use your best judgment in estimating ages.