Questionnaire Text

Questionnaire form view entire document:  text  image

V. Characteristics of individual household members


[Questions 514-515 was asked of persons age 5 or older who have lived in present village for fewer than five years, per question 511.]


514. Place of residence five years ago (October 1990)

Province _ _
Regency/municipality _ _
District _ _ _
Village _ _ _

[] 1 Urban
[] 2 Rural

Questionnaire instructions view entire document:  text  image

Question 514: Place of residence five years ago
Ask the respondent the province, municipality, sub-district, and village of residence five years ago. Fill in the respondent's answer in the space provided.