Questionnaire Text

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Form B household questionnaire part 2

Individual particulars
[This section except for questions 6 and 8 are to be completed by all persons]

11. Birthplace

- If in this village, enter code 1,
- If in another village, give name of the Khum/Sangkat of that village and write names of District/Khand/Krong and Province/Khet,
- If outside Cambodia, write name of the country

_____ 11a. Write name of Khum/Sangkat, Srok/Khan/Krong, Khet or country name if another country

_____ 11b. Code of location