F Questionnaire used for the quantitative survey in 2012 – INDIVIDUAL QUESTIONNAIRE IDENTIFICATION PRELIMINARY Enquirer Name: N° QUESTIONNAIRE : /___ /___ /___ /___/ /___/___/ Supervisor Name: Village/Community : /___/ ___/ Oil producing community……………….10 TEPNG………………………..11 Local Government Area : AGIP………………… ……...12 ONELGA 1 Non oil producing community………… 20 Interview day : /__ __ / __ __ / __ __ __ Enquiree Name: __/ Tél. Number : Ending time: Beginning time: /__/__/H /__/__/mn /__/__/H /__/__/mn Language of interview: English………… …………….1 Ogbo………………………….2 ……………………………………………… Egbema………………………3 Ndoni……………… …………4 Pidgin………………………....5 Other, specify……… ……..6 Remarks : : /___ /___/ Computer Operator’s Code I SOCIO AND DEMOGRAPHIC DATA – –ECONOMIC A- Social status and Employment
F – Questionnaire used for the quantitative survey in 2012 INDIVIDUAL QUESTIONNAIRE IDENTIFICATION PRELIMINARY N° QUESTIONNAIRE : /___ /___ /___ /___/ Enquirer Name: /___/___/ Supervisor Name: Village/Community : Oil producing community……………….10 TEPNG………………………..11 AGIP………………… ……...12 Non oil producing community………… 20 /___/ ___/ Local Government Area : ONELGA 1 Interview day : /__ __ / __ __ / __ __ __ __/ Enquiree Name: Tél. Number : Beginning time: /__/__/H /__/__/mn Ending time: /__/__/H /__/__/mn Language of interview: English………… …………….1 Ogbo………………………….2 ……………………………………………… Egbema………………………3 Ndoni……………… …………4 Pidgin………………………....5 Other, specify……… ……..6 Remarks : Computer Operator’s Code : /___ /___/ I – SOCIO –ECONOMIC AND DEMOGRAPHIC DATA A- Social status and Employment
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