Literal question
<span class="em">16. What is your citizenship?</span><div class="i1">If the answer is 2 or 3 - give the name of the country (ies) of citizenship<br /><br />[] 1 Polish (only)<br />[] 2 Both - Polish and other (specify) ________<br />[] 3 Only others (specify)</div><div class="i2">________ Name of country<br />________ Name of country</div>