Questionnaire Text

Questionnaire form view entire document:  text  image
Only for people 5 years or older
[Questions 15-17 are only applied to persons aged 5 and older]

18. In the last 3 months has [the respondent] used...?

Computer
[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Questions 15 to 19 should be asked questions to people 5 years or older.

Question 18: Use of cellular phone, computer, and internet

18. In the last 3 months has [name] used . . .?

Cell phone
[] 1 yes
[] 2 no
Computer
[] 1 yes
[] 2 no
Internet
[] 1 yes
[] 2 no

The objective is to investigate whether the people have used a cell phone, computer, or internet in the past three months, for whatever reason.