Literal question
<span class="h1">Form 2H: Personal Questionnaire</span></p>
<p>[Questions were asked of all persons]</p>
<p>11. Which language do you usually speak at home?</p>
<div class="i1">[] 1 Belarussian<br />[] 2 Russian<br />[] 3 Other, please indicate which ____</div>