Questionnaire Text

Questionnaire form view entire document:  text  image
For all persons
[Questions 10 to 25 were asked of all persons]

12. Place of birth of the person

[] 1 In this village
[] In another village
Give the name of the district of that village and write name of province within brackets ____ _ _ _ _
[] Outside Cambodia
Write the name of the country ____ _ _ _ _
Questionnaire instructions view entire document:  text  image
52. Instructions for filling-in column 1 to 25 of Form B: part 2

You have to collect information in part 2 for all persons mentioned in statement 1.1 and statement 1.2 of part 1. Some of the following questions have been answered in part 1. Therefore there will be no need to ask these questions again. In such cases all you have to do is to copy the information in the appropriate column.

65. Column 12: birth place

If a person reports that he/she was born in this village (i.e. village of enumeration), record code 1 in the blank space (not in shaded boxes which are reserved for coding in office). Persons reporting to have been born in this village are those born in the same village in which you are conducting your enumeration. The birth place of the person is the place of usual residence of the person's mother at the time of birth. For example, for a person born in (a) hospital or maternity home outside the usual place of residence of the mother or (b) mother's village or (c) some other place where the mother had gone for a short visit, the birth place of this person will be the place in which the mother normally lives and not the place of the hospital, the mother's village or place of visit. If however, the mother's length of stay outside her place of usual residence was one month or more or the mother had the intention of staying in the new place for one month or more the "actual place of physical birth" will be considered as the birthplace of the person in question. For example, suppose Bossadine who normally resides with her husband in Bak Kheng went to Kandal Koh to deliver her child in her mother's house, and returned within 15 days the birthplace of the child will be Bak Kheng and not Kandal Koh.

65.1 If however, Bosadine stays in Kandal Koh for one month or more, then the Birth place of her child will be Kandal Koh and not Bak Kheng.

65.2 For those persons reporting to have been born outside the village in which you are conducting your enumeration, record the district in which the village of birth falls and also write name of province of that district within brackets. For those born outside Cambodia write name of the country of birth.