Questionnaire Text

Questionnaire form view entire document: text image

Section V. Characteristics of the population (continued)

23. Is your workplace located:

(Read each alternative and fill in only one oval)

[] 1 Here, in this district?
[] 2 In another district (Specify)

(If you worked in multiple districts, the last district you worked in)

____ District
____ Province / Country

Questionnaire instructions view entire document: text image

For persons of 5 years of age and older
[Questions 16 to 23 are asked of persons age 5 or older]

Question 23: Is your workplace located:

If the work center or place is located in the district where you are registering, fill in the oval of option 1, "Here, in this district?".

Fill in the oval in option 2, "in another district?" if the work center or place is located in a different district from the one where you are registering. Then write down the district and province where it is located.

If the respondent worked in several districts last week, enter the last district in which he/she worked.

If the respondent is under 12 years of age, the interview concludes with this question. If he/she is 12 years of age or older, proceed to question 24.