Questionnaire Text

Questionnaire form view entire document: text image

602. When were you born?

Month _ _
Year _ _ _ _

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Question 602: Date, month, and year of birth
Ask the date, month, and year of the respondent's birth. Write the date, month, and year in the appropriate boxes provided. If the respondent only knows the year and month of birth, write the year and month on the line provided and in the appropriate boxes, and place a dash on the line for date and leave the corresponding boxes blank. If the respondent only knows the year of birth, write the year on the appropriate line and put dashes on the other two lines and leave the corresponding boxes blank. If the respondent does not know the year of birth, then the year of birth must be filled in by estimating the year based on the age that is written in Q 404. If the respondent knows the date, month, and year of birth based on the Islamic, Javanese, or Sundanese calendar, this information must be noted as completely as possible in the blank space in Block VI.

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Use the Age Conversion Guide (Appendix 1) to convert the information on date, month, and year to the Gregorian calendar.

Example: Question 602
1. Respondent says he was born on 19 July 1999; fill in lines and boxes as follows:
Date: 19
Month: July
Year: 1999

2. Respondent was born in the month of Syawal in the Gregorian year 1937; because the month of Syawal in the Gregorian year 1937 coincides with the month of December, fill in the lines and boxes as follows:
Date: --
Month: December
Year: 1937