Survey on Microfinance in Indonesia
Questionnaire for household survey 2007: Pretest
by
Institute of Developing Economies (IDE)
Household No. : ______________
Kab/kota: _________________________________
Kec: ________________________________
Desa: _________________________________
Dusun: _________________________________
Alamat (nama jalan, gang, RT/RW)
:_________________________________
Nomor HP:____________________________
Nama Kepala Rumah Tangga: _____________________________________
Nama yang diwawancarai (Semua yang diwawancarai):
1.________________________________________
(2.)________________________________________
(3.)________________________________________
Nama Pewawancara: ______________________________________
Date of data collection 1st visit: [time started= : ] [time ended= : ]
2nd visit: [time started= : ] [time ended= : ]
Date of data verification : ____________________________________________