Questionnaire Text

Questionnaire form view entire document:  text  image
Part B: Individual data

19. Previous residence prior to the present ____

20. Cause of changing previous residence

[] 1 Work
[] 2 Study
[] 3 Marriage
[] 4 Divorce/Widowed
[] 5 Accompanied
[] 6 Other
[] 7 No change
Questionnaire instructions view entire document:  text  image
The reasons of changing the place of residence: column (19)
If there is a previous place of residence as in the answer to the question Number (18), the column Number (19) is filled by putting a circle round one of the answers from (1) to (6).
If there is no previous place of residence put a circle round number (7)