Questionnaire Text

Questionnaire form view entire document:  text  image
16. Were you born in Malaysia?

[] Yes
[] No (Skip to 18)
[] Unknown (Skip to 19)

17. In which state were you born?

[Question 17 was asked of persons who were born in Malaysia.]

[] Johore
[] Kedah
[] Kelantan
[] Malacca
[] Negri Sembilan
[] Pahang
[] Penang
[] Perak
[] Perlis
[] Selangor
[] Trengganu
[] Federal Territory
[] Sabah
[] Sarawak
[] State Unknown
(Skip to 19)

18. In which country were you born?

[Question 18 was asked of those who were not born in Malaysia.]

[] Singapore
[] Thailand
[] Indonesia
[] Philippines
[] Vietnam
[] China
[] India/Pakistan/Bangladesh/Sri Lanka
[] Other countries
[] Unknown
Questionnaire instructions view entire document:  text  image

Questions 16-18 obtain information on the person's birth place and are quite straightforward.

Question 16: Only if the person does not know the place of birth at all are you to mark the 'Unknown' box.

Question 17: If a person answers 'Kuala Lumpur' you are to mark the box 'Federal Territory '.

Question 18 is to be asked only of those who were not born in Malaysia. Note that the countries India, Sri Lanka, Pakistan and Bangladesh are categorized together. Taiwan is to be included under the category 'Other Countries'.