Questionnaire Text

Questionnaire form view entire document: text image

20. During the last ten years, has any member of this household left to live permanently in another country?

[] 1 Yes

[Under "yes", an arrow points to a table with spaces to fill in the following information for up to three individuals]

____ 1. Name of the person
____ 2. Left in what year? _ _ _ _
____ 3. Went to which country? _ _ _
_ _ 4. Age at time of departure?
____ 5. Sex (male or female) _

[] 2 No (Go on to question 21

Questionnaire instructions view entire document: text image

Question No. 20: During the last ten years, has any member of this household left to live permanently in another country?

What is wanted with this question is to determine and identify persons, by home, who have left to live in another country in the last decade.
This question refers to persons who have left to live abroad permanently therefore do not consider those who are studying in another country or persons who are outside the country because of vacation, work or other reason.
Mark a single circle according to the response of the person.

[To the left of the text is a picture of a globe.]

If the response is " yes" ask the name of the person, year in which they left, the country to which they went the age when they left and the sex, write it down in the space meant for each question. Write "H" for man and "M" for woman.