Questionnaire Text

Questionnaire form view entire document: text image

Questionnaire - household

Record type ____
11. Type of establishment (collective households only) ____ _
12. Page no. _ _
13. Total number of pages _ _
14. Address of the household ____ _ _ _
15. Total number of residents in the household ____ _ _ _
16. Total number of individuals surveyed in the household ____ _ _ _

Questionnaire instructions view entire document: text image

4.3 Completion of the household questionnaire

The questionnaire is completed either by writing the answers given by the surveyed individuals or by circling the number that corresponds to the appropriate response.

- Establishment type (only for collective households)

Write the name of the establishment in which you are working and indicate the code of that establishment in the corresponding table:

[] 1 Barracks;
[] 2 Hospitals, insane asylums, leper colonies, and Blue Cross centers;
[] 3 Prisons and correctional schools;
[] 4 Boarding schools, university residence halls, orphanages, and centers for the disabled;
[] 5 Living quarters on temporary work sites;
[] 6 Hotels, village inns, and administrative camps;
[] 7 Monasteries, convents, and other religious communities;
[] 8 Other (please specify).