Questionnaire Text

Questionnaire form view entire document: text image

For all persons
[Questions in columns 1 to 11 were asked of all persons]

Now we would like to ask for information on you and the persons habitually living in your household or currently residing in your home

(7) Place of birth ____

Write down department/township for Benin. And country for foreigners

Questionnaire instructions view entire document: text image

i) Socio-demographic characteristics

Column (7): Place of birth
Ask the following question: "where were you born?" or "where was [the respondent] born?" Report the department/township for persons born in the Republic of Benin. For persons born outside of Benin, report the country of birth.
Use the following abbreviations for departments:

[] ALI: Alibori
[] ATA: Atacora
[] ATL: Atlantic
[] BOR: Borgou
[] COL: Collines [hills]
[] COU: Couffo
[] DON: Donga
[] LIT: Littoral [coast]
[] MON: Mono
[] OUE: Ouémé
[] ZOU: Zou

Example: Mark down ATL/ZE for a person who claims to be born in the township of ZE in the Atlantic department, on the horizontal line reserved to that effect and leave the boxes empty.
For persons born outside of Benin (ex.: Togo, Belgium...), mark down the name of the country on the horizontal line and leave the boxes blank.