Bermuda-2010-emigrant-en.pdf

SECTION E EMIGRATION
MAIN QUESTIONNAIRE BOOKLET #
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Please tell me the names of each person. I will now ask
for the details of each person who has moved abroad
between May 21, 2000 and May 20, 2010 and are
currently living abroad.
PERSON 1
Name (Surname first)
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E5. What was the primary reason for . . . leaving Bermuda?
2 Female?
E1. In what
E2. Is . . . 1 Male?
year
E3. Which racial group does . . . belong to?
did . . .
move
1 Black
5 Black & Other
abroad?
2 White
6 White & Other
(2000–2010)
3 Asian
7 Other races
4 Black & White
8 Not stated
E4. What is . . .’s date of birth?
MONTH
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(NS=99)
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(NS=99)
E6. What was . . .’s country of destination?
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E7. Is . . .
1 Bermudian?
(NS=99)
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2
(NS=999)
Non-Bermudian?
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Name (Surname first)
OFFICE
USE ONLY
Not stated
(PERSONS 16 YEARS AND OVER,
OTHERWISE GO TO NEXT PERSON)
E8. What was . . .’s highest academic qualification
when he/she moved?
1 None
4 Degree
2 High school certificate
5 Other (Specify)
3 Technical/Vocational/
Associate
6 Not stated
E9. What was . . .’s main occupation before moving?
(Do not write vague answers.)
(NS=9999)
PERSON 2
HOUSEHOLD NUMBER
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COMMERCIAL ZONE
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CONSTITUENCY
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CENSUS DISTRICT
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RECORD TYPE
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(NS=9999)
E5. What was the primary reason for . . . leaving Bermuda?
2 Female?
E1. In what
E2. Is . . . 1 Male?
year
E3. Which racial group does . . . belong to?
did . . .
move
1 Black
5 Black & Other
abroad?
2 White
6 White & Other
(2000–2010)
3 Asian
7 Other races
4 Black & White
8 Not stated
E4. What is . . .’s date of birth?
MONTH
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(NS=99)
YEAR
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(NS=9999)
(NS=99)
E6. What was . . .’s country of destination?
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E7. Is . . .
1 Bermudian?
(NS=99)
DAY
0
2
(NS=999)
Non-Bermudian?
3
OFFICE
USE ONLY
Not stated
(PERSONS 16 YEARS AND OVER,
OTHERWISE GO TO NEXT PERSON)
E8. What was . . .’s highest academic qualification
when he/she moved?
1 None
4 Degree
2 High school certificate
5 Other (Specify)
3 Technical/Vocational/
Associate
6 Not stated
E9. What was . . .’s main occupation before moving?
(Do not write vague answers.)
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(NS=9999)
PERSON 3
Name (Surname first)
E5. What was the primary reason for . . . leaving Bermuda?
2 Female?
E1. In what
E2. Is . . . 1 Male?
year
E3. Which racial group does . . . belong to?
did . . .
move
1 Black
5 Black & Other
abroad?
2 White
6 White & Other
(2000–2010)
3 Asian
7 Other races
4 Black & White
8 Not stated
E4. What is . . .’s date of birth?
MONTH
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(NS=99)
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E6. What was . . .’s country of destination?
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E7. Is . . .
1 Bermudian?
(NS=99)
DAY
0
2
(NS=999)
Non-Bermudian?
3
Not stated
(PERSONS 16 YEARS AND OVER,
OTHERWISE GO TO NEXT PERSON)
E8. What was . . .’s highest academic qualification
when he/she moved?
1 None
4 Degree
2 High school certificate
5 Other (Specify)
3 Technical/Vocational/
Associate
6 Not stated
E9. What was . . .’s main occupation before moving?
(Do not write vague answers.)
(NS=9999)
PERSON 4
Name (Surname first)
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(NS=9999)
E5. What was the primary reason for . . . leaving Bermuda?
2 Female?
E1. In what
E2. Is . . . 1 Male?
year
E3. Which racial group does . . . belong to?
did . . .
move
1 Black
5 Black & Other
abroad?
2 White
6 White & Other
(2000–2010)
3 Asian
7 Other races
4 Black & White
8 Not stated
E4. What is . . .’s date of birth?
MONTH
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(NS=99)
YEAR
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(NS=99)
E6. What was . . .’s country of destination?
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E7. Is . . .
1 Bermudian?
(NS=99)
DAY
2
(NS=999)
Non-Bermudian?
3
ALL RIGHTS RESERVED.
OFFICE
USE ONLY
Not stated
(PERSONS 16 YEARS AND OVER,
OTHERWISE GO TO NEXT PERSON)
E8. What was . . .’s highest academic qualification
when he/she moved?
1 None
4 Degree
2 High school certificate
5 Other (Specify)
3 Technical/Vocational/
Associate
6 Not stated
E9. What was . . .’s main occupation before moving?
(Do not write vague answers.)
(NS=9999)
© SCANTRON CORPORATION 2010
OFFICE
USE ONLY
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(NS=9999)
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