Questionnaire Text

Questionnaire form view entire document: text image

III. Information about the dwelling

Complete 11, 12, 13, and 14 by observation (in case of doubt, ask).

13. Principal material in the exterior walls.

[] 1 Brick, tile, adobe, prefabricated, stone, marble
[] 2 Cane with earth (bahareque)
[] 3 Bamboo or cane
[] 4 Wood
[] 5 Fabric or discarded material
[] 6 No walls

Questionnaire instructions view entire document: text image

Section III. Dwelling information

The first four questions (numbers 11, 12, 13 and 14) are responded to by observation, the remaining should be asked to the interviewed person.

In case of doubt, ask.

Question No. 13 Predominant material in the exterior walls

(Filled out by observation)

[Below the text is a form.]

Mark "x" in the corresponding box.

Take into account that the question refers to the outside walls and that if a dwelling has materials of many classes, the predominant should be marked.