Questionnaire Text

Questionnaire form view entire document:  text  image

For every person


9. Place of birth (province or country) ______

Questionnaire instructions view entire document:  text  image

Column 9: Place of Birth
Ask: "In what province was the person born?" Then, record the name of the province.

If the person was born outside Thailand, record the name of the country in which the person was born.

For a child who was not born in the place that was the mother's regular living place, consider the mother's regular living place as the child's place of birth. For example, if the boy A was born at Siriraj hospital in Thonburi province, but the mother's house is in Bangkok, consider Bangkok as the boy's place of birth.