Literal question
<span class="em">B. Person Form</span></p>
<p>13. What is your religion? </p>
<div class="i1">Check one box only<br /><br />[] 1 Roman Catholic<br />[] 2 Church of Ireland<br />[] 3 Presbyterian<br />[] 4 Methodist<br />[] 5 Islam<br />[] 6 Other, write in your religion<br /> ______</div>