Questionnaire Text

Questionnaire form view entire document: text image

1. Type of dwelling:

PRIVATE:

[] House
[] Flat/apartment
[] Hut
[] Precarious Dwelling (shack, tin, cardboard)
[] Wooden and Zinc house
[] Other: ________

COLLECTIVE:

[] Hospital
[] Hotel/ boarding house
[] Barracks/ military camp
[] Convent/ seminary
[] School/ boarding school/ student residence
Other: ________

HOMELESS:
[] Homeless people

Enumerator:If you have NOT selected anything under ?Private?, please finish the interview and go on to the last page of this form.

Questionnaire instructions view entire document: text image

E1. Type of housing?
Tick X in the type housing that you are working. There can be only one answer, or a private or collective, whether, for example, a house or hut, a hospital or school. A house will never has two characteristics simultaneously. After answering, you must correctly complete the type of dwelling, and repudiating the cases that do not apply with a horizontal line.
If the property is of type "Collective", do not proceed to the questions in Section D (housing), or those of Section G (Death) and Section F (farming and ranching). Dispose with a vertical line the question F6. Proceed to Section D (questions about the population).
Read the question and each alternative. Wait for the reply. Tick X in the number corresponding to the answer.