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


5. Citizenship

[] Indonesia
[] China
[] Arabian country
[] India
[] Pakistan
[] Other

Questionnaire instructions view entire document:  text  image

6.6. Question 5: Citizenship
When a person's citizenship is unclear or unknown, ask:
"Are you an Indonesian citizen or a foreign citizen?"

If the answer is "Indonesian citizen", fill in the Indonesian box.
If the answer is "Foreign citizen", then ask: "What is your citizenship?"

Fill in the answer in the appropriate box.