Questionnaire Text

Questionnaire form view entire document:  text  image

Household members age 5 or older
[Questions 9-13 were asked of persons age 5 or older]


9. Place of residence 5 years ago

Province: ____
Regency/city: ____

Questionnaire instructions view entire document:  text  image

Question 09: Place of residence 5 years ago
Ask where the respondent lived 5 years ago (July 1995) and record the province and country names into the appropriate box.
Note: If the respondent's residence 5 years ago was overseas, please write down the country name and enter the code "96" in the box for province and regency/municipality.

Methods of interviewing:
1. Please ask first the length of residence at the respondent's current address. If the answer is 5 years or more, the address [from] 5 years ago is the same as the current address.
2. If the length of residence at the respondent's current resident address is fewer than 5 years, then obtain the previous regency/municipality of the respondent and the length of residence there, and add both lengths from the current and previous addresses.
3. If it is found that the total length of residence at the current and previous addresses is fewer than 5 years, please inquire further to get another previous address where the respondent lived 5 years ago.

Example:
1. During enumeration day Sindab has been living in Bogor for 2 years and before that he lived in Jakarta for 4 years. Therefore Sinbad's residence 5 years ago would be in Jakarta.
2. Currently Sariatun has been living in Bekasi for 1 year, and before that she lived in Jakarta Timur for 2 years, and before that she lived in Bogor for 2 years. For Sariatun's case, the place of residence 5 years ago will refer to Bogor.

Regency/municipality codes and province codes will be filled in by the supervisor of the enumerator.