Food Consumption Patterns Part 2
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
151<br />
Consumer Quantitive Questionnaire<br />
Enumerators name*<br />
Hello. My name is _______. I am working for a company that is studying foods. We would like to<br />
ask you some questions about food. Do you agree to respond to the questions?*<br />
ok<br />
Respondent's name<br />
First Name*<br />
Telephone number<br />
tel 1*<br />
tel 2*<br />
Sex of respondent*<br />
male<br />
female<br />
Estimate her/his age*<br />
Where are you from?<br />
Department*<br />
Where were you mostly brought up?*<br />
Port-au-Prince mtro area<br />
City in the provinces<br />
Peri_Urban<br />
Town<br />
Country<br />
Department*<br />
Neighborhood*<br />
Port-au-Prince mtro area<br />
City in the provinces<br />
Peri_Urban<br />
Town<br />
Country<br />
What class did you finish?*<br />
Kindergarten<br />
1st_Grade<br />
2nd_Grade<br />
3rd_Grade<br />
4th_Grade<br />
5th_Grade<br />
6th_Grade<br />
7th_Grade<br />
8th_Grade<br />
9th_Grade