Your personal information Name: all other fields have to be completed.
(Moving between items: use the mouse or TAB key on keyboard)
My email address: The address will be kept confidential.
I am: --- male female
My age in years [make a guess if you are not sure]:
My highest completed education: --- no school education gr1 gr2 gr3 gr4 gr5 gr6 gr7 gr8 gr9 gr10 gr11 gr12 uni certificate uni diploma BSc postgraduate
I was born in the village or town:
District: [write "unknown" if you are not sure]
Province: --- Bougainville Central East New Britain East Sepik Eastern Highlands Enga Gulf Hela Jiwaka Madang Manus Milne Bay Morobe National Capital District New Ireland Oro Sandaun Simbu Southern Highlands West New Britain Western Western Highlands
I spent most of my pre-school years: --- in my parent’s village in my mother’s village in my father’s village in another village in government station in provincial town or city in Port Moresby overseas
If you spent your pre-school years in a village, did this village have:
Road access by car: --- yes no
Airstrip: --- yes no
Boat access by river/sea: --- yes no
Access ONLY by walking: --- yes no
Electricity: --- yes no
I am now living in: --- asples village another village town city
What is your job:
Does your family own land? --- yes no
If yes, does our land has (you can say yes to several options):
Undisturbed forest - big bush: --- yes no
Logged forest: --- yes no
Cash crop plantation (coffee, coconut, cocoa, oil palm or others): --- yes no
Food gardens: --- yes no
Grassland/kunai: --- yes no
Settlement area: --- yes no
I have: and brothers .
[sharing at least one parent, including adopted ones]
Do you know how to:
Hunt animals in forest: --- well a little no
Catch fish: --- well a little no
Plant gardens: --- well a little no
Build village house: --- well a little no
Make a mumu: --- well a little no
Use plants to treat fever: --- well a little no
Use mobile phone: --- well a little no
Use computer: --- well a little no
What language do you use most of the time in your home? --- English Tok pisin Tok ples
Your language skills: Does your mother and father speak the same tokples? --- yes no
I speak my mother’s tokples: --- very well poorly can only understand (harim tasol) not at all
I speak my my father’s tokples: --- very well poorly can only understand (harim tasol) not at all
I speak also another tokples: --- yes no
