Questionnaire Text

Questionnaire form view entire document:  text  image

Individual form
[Section I is the same as Section I: Household and Living Unit Information above]


II. For all ages


2. Age

_ _
[] 100 100 or older

Questionnaire instructions view entire document:  text  image

6.5. Column (5): Age
Based on the information in column (4), which is date of birth, the age of that person should be filled in column (5). Age should be rounded down (see Attachment I). If the date, month and also year of birth are unknown, then try to obtain information about age by relating to the person some important national or regional events, for example: The Landing of Jepang (1942), Republic of Indonesia Independence Proclamation (1945) and other events. For households that will be visited again, after filling columns (1) to (5), do not fill the section in Question 3, Number of Household Members. Fill it after the second visit.


6.3. Question 2: Age
Refer to the Household Information column (5) in Questionnaire F1. Move the age to Question 2.