Questionnaire Text

Questionnaire form view entire document:  text  image

5. Country of birth (as per current boundaries) and year of immigration

[] 1. Born in Israel

Father's country of birth:

[] 1. Israel
[] 2. Ukraine
[] 3. Morocco
[] 4. Iraq
[] 5. Poland
[] 6. Rumania
[] 7. Yemen
[] Other country, please specify ____

Mother's country of birth:

[] 1. Israel
[] 2. Ukraine
[] 3. Morocco
[] 4. Iraq
[] 5. Poland
[] 6. Rumania
[] 7. Yemen
[] Other country, please specify ____

[] 2. Born abroad

Year of immigration: 19 _ _

Country of birth:

[] 2. Ukraine
[] 3. Morocco
[] 4. Iraq
[] 5. Poland
[] 6. Rumania
[] 7. Yemen
[] Other country, please specify ____

Questionnaire instructions view entire document:  text  image
12. Question 5

5. Country of birth (according to present borders) and year of Aliya [Migration to Israel]

[] 1 Israeli born
Father's country of birth
[] 1 Israel
[] 2 Ukraine
[] 3 Morocco
[] 4 Iraq
[] 5 Poland
[] 6 Romania
[] 7 Yemen
[] Other country ____
Mother's country of birth
[] 1 Israel
[] 2 Ukraine
[] 3 Morocco
[] 4 Iraq
[] 5 Poland
[] 6 Romania
[] 7 Yemen
[] Other country ____
[] 2 Foreign born
Year of Aliya: 19 _ _
Your country of birth:
[] 2 Ukraine
[] 3 Morocco
[] 4 Iraq
[] 5 Poland
[] 6 Romania
[] 7 Yemen
[] Other country ____


[p. 29]

The question is comprised of several parts:

Each person is asked if he is an Israeli born or a foreign born.

Israeli-born is asked about the country of birth of his father and his mother.

Foreign-born is asked about his year of migration to Israel and his country of birth.


12.1 Country of birth

a. If the name of the country is printed in the list, mark an X in the appropriate box. If the name of the country is not listed, write it in the boxes under the list.

b. Write the name of the country according to current borders and not the borders as used to be when the person was born.

This rule applies to the changes taking place during the last years in different countries, like in Eastern Europe, and to localities in which the governance moved from one country to another. The people born in these countries are asked to write the current name of the country or republic.

Examples:

1. A person who was born in a city, that at the time of his birth belonged to Germany, but today is part of Poland, has to mark the answer "Poland" in the questionnaire.

2. A person who was born in the city of Aden, which is currently belonging to Yemen, will mark "Yemen" in the questionnaire.

3. A person who was born in the Soviet Union is asked to write the name of the republic, like Latvia. If he does not know the name of the republic today, he should write "Former Soviet Union".


Comment: If a foreign born wrote his father's or mother's country of birth, leave his answer as is.