Questionnaire Text

Questionnaire form view entire document:  text  image
For Every Person
[Questions L1- L7 were asked of every person.]

L4. Month and year of birth

Month ____
Year ____
Questionnaire instructions view entire document:  text  image
Columns 1 - 7 Interview and record the detailed information of every household member.

Column 4 Month and year of birth

Question "May I have your month and year of birth?" record month and year of birth in Column Month and Year, respectively.

1. If the interviewee answers in a lunar calendar or the Thai zodiacal calendar e.g., Month 12 Year Rabbit, Record "12" in Column Month and "Rabbit" in Column Year.
2. If the interviewee answers in solar calendar e.g. September 2496, Record "September" in Column Month and "2496" in Column Year.
3. If the interviewee answers month of birth in solar calendar e.g., January and year of birth in the Thai Zodiacal calendar e.g., Great snake, the interviewer should ask for the year of birth.
Unless the interviewee does not know the exact year of birth, the interviewer records "Great snake"
4. If the interviewee does not know the month and year of birth, mark "X" in Column Month and Year.

Remarks: If the interviewee does not remember month and date of birth of family members, ask for the household registration to verify.