https://www.szukajwarchiwach.gov.pl/en/jednostka/-/jednostka/11314559
Held in the Polish State Archives in Lodz.
Fond: "1916 Jewish Religious Community in Lodz". Ref.: 39/228/0/-/54.
Some of these are difficult to read because the writing is so light.
Here is the translation for the second page of the questionnaire.
