BIRTH TO TWENTY PLUS
RESIDENTIAL MOVE CONTACT SHEET
YEAR 21DATA COLLECTION
Bt20 ID: Bt20 NAME:
Birth to Twenty Plusare conducting an exercise to verify the address information we have collected over the past 4 years of our study. We are also interested in obtaining additional information on any address changes involving you, the Birth to Twenty young adult that we may not have on record. Please review the summary of addresses (below) and answer the following questionnaire regarding residential moves.
SUMMARY OF ADDRESSES FOR BIRTH TO TWENTY YOUNG ADULT
Address / Time Frame / Interviewee / Address –House No, Street / Address –Suburb, Area/ZoneAddress 1
(2007) / <populated from last migration questionnaire>
Address 2
(2008) / <populated from contact database
Address 3
(2009) / <populated from contact database>
Address 4
(2010) / <populated from contact database>
Address 5
(2011) / <populated from contact database>
Address 6
(2012) / <populated from contact database>
GUIDE For Reasons
Work Related / Moved for reasons associated with employment and financial situations e.g. changed jobs, lost a job, retired, change in financial situationHousing Related / Moved for reasons associated with accommodation e.g. lease expired, required bigger/smaller accommodation, relocation of informal settlement
Relationship Related / Moved for reasons associated with relationships and family circumstances e.g. marriage, separation, divorce, widowhood, death
Community Related / Moved for reasons associate with the community/neighbourhood e.g. security concerns, crime, social network
Address 1
(Year 17: 2007)
What is your name? ______
BT20 ID: ______
[Jdk1]
Please have a look at Address 1and answer the following questionsconcerning the MAIN PLACE OF RESIDENCEof the Bt20 Young Adult.
House No Street Name:Suburb:
Area/Zone: / <populated from last migration questionnaire> / YES / NO
If any of the above details are wrong or incomplete, could you provide us with the correct information?
House No:Street Name:
Suburb:
Area/Zone:
Province:
Any notes on the address information above:
Additional Notes:
Address 2
(Year 18: 2008)
Please have a look at Address 2 and answer the following questionsconcerning the MAIN PLACE OF RESIDENCE of the Bt20 Young Adult.
House No Street Name:Suburb:
Area/Zone: / <populated from contact database> / YES / NO
If any of the above details are wrong or incomplete, could you provide us with the correct information?
House No:Street Name:
Suburb:
Area / Zone:
Province:
If Address 2 (above) is different from Address 1, what was the reason for moving?
Please provide reason:Additional Notes:
Address 3
(Year 19: 2009)
Please have a look at Address 3 and answer the following questionsconcerning the MAIN PLACE OF RESIDENCEof the Bt20 Young Adult.
House No Street Name:Suburb:
Area/Zone: / <populated from contact database> / YES / NO
If any of the above details are wrong or incomplete, could you provide us with the correct information?
House No:Street Name:
Suburb:
Area / Zone:
Province:
If Address 3 (above) is different from Address 2, what was the reason for moving?
Please provide reason:Additional Notes:
Address 4
(Year 20: 2010)
Please have a look at Address 4 and answer the following questionsconcerning the MAIN PLACE OF RESIDENCEof the Bt20 Young Adult.
House No Street Name:Suburb:
Area/Zone: / <populated from contact database> / YES / NO
If any of the above details are wrong or incomplete, could you provide us with the correct information?
House No:Street Name:
Suburb:
Area / Zone:
Province:
If Address 4 (above) is different from Address 3, what was the reason for moving?
Please provide reason:Additional Notes:
Address 5
(Year 21: 2011)
Please have a look at Address 5 and answer the following questionsconcerning the MAIN PLACE OF RESIDENCEof the Bt20 Young Adult.
House No Street Name:Suburb:
Area/Zone: / <populated from contact database> / YES / NO
If any of the above details are wrong or incomplete, could you provide us with the correct information?
House No:Street Name:
Suburb:
Area / Zone:
Province:
If Address 5 (above) is different from Address 4, what was the reason for moving?
Please provide reason:Additional Notes:
Address 6
(Year 22: 2012)
Please have a look at Address 6 and answer the following questionsconcerning the MAIN PLACE OF RESIDENCEof the Bt20 Young Adult.
House No Street Name:Suburb:
Area/Zone: / <populated from contact database> / YES / NO
If any of the above details are wrong or incomplete, could you provide us with the correct information?
House No:Street Name:
Suburb:
Area / Zone:
Province:
If Address 6 (above) is different from Address 5, what was the reason for moving?
Please provide reason:Additional Notes:
[Jdk1]Do we need this? interviewers are spending quite a bit of time filling it in. If we do want to keep it, should specify first name only.