Questionnaire Text

Questionnaire form view entire document:  text  image

a) What is the predominant material in the exterior walls?
[] 1 Brick
[] 2 Adobe
[] 3 Wattle [estaqueo]
[] 4 Boards
[] 5 Sheets of fibrocement, zinc, etc.
[] 6 Stone
[] Other (specify) ____
Questionnaire instructions view entire document:  text  image

Question 3. Predominant material

a) What material is predominant on the exterior walls?
Ask the question, read each of the following options, and mark an X in the corresponding box.
If the material is not indicated, mark "other," [and insert] the name of the material.

[A depiction of section 3 of the enumeration form to the left of the preceding text is omitted here.]

[P. 24]

[A drawing of four walls, with the words, "brick," "stucco," "wood," and "stone," written under each of the walls, respectively, is omitted here.]

b) What material is predominant on the roof?

Ask the question, read each of the options, and mark an X in the corresponding box.
If the material is not listed, write the name of the material under "other."

When the dwelling is in a middle section of a building with several floors, the roof of the roof of the building is considered.

[A drawing of four roofs, with the words, "shingle," "straw," "wood," and "cement," written under each of the roofs, respectively, is omitted here.]

[P. 25]

[A depiction of question (3)c. to the left of the following text is omitted here.]

c) What material is predominant on the floor?

Ask the question, read each of the options, and mark an X in the corresponding box.
If the material is not listed, write the name of the material under "other."

[A drawing of four floors, with the words, "brick," "wood," "tile," and "dirt," written under each of the floors, respectively, is omitted here.]