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Recreation Study

Recreation Study

Recreation Study

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NOTE FOR FIELDWORKERa. Please ensure that the respondent is 16 years or older BEFORE starting the interviewb. Please read all questions to respondent and indicate the responses available slowly reading them aloud.Repeat response options if necessary.c. Please ensure that ALL APPLICABLE questions are completed with the necessary information.SECTION 1: CONSENTYESNO1. Do I have your consent to continue with this interview?01 02SECTION 2: RESPONDENT & HOUSEHOLD DETAILSMALEFEMALE2. Record gender (BY OBSERVATION)01 023. Record Race (BY OBSERVATION)Black 01Coloured 02Asian/Indian 03White 04Other 054. What is your age? YEARS5. Which of the following best describesyour job status?READ OPTIONSCIRCLE ONE ONLYEmployed – Full time 01Employed – Part time 02Self-employed (Own business) 03Informally employed 04Unemployed 05Retired/Pensioner 06Student 07Housewife 08Continue toQuestion 6Go toQuestion 7Other (Specify) 09Prefer not to answer 10RESEARCH REPORT JANUARY 2011105

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