OAXACA/97 PROJECT
QUESTIONNAIRE # 1
NAME___________________________________________
PLACE OF BIRTH____________________________________________________
DATE OF BIRTH____________________________________________________
OCCUPATION___________________________________________________
DATE OF ENROLLMENT IN SAC______________________________________
ACTIVITY 1 FREE TASK (TIME 30 MIN) RETROSPECTIVE ANALYSIS
TITLE OF MATERIAL__________________________________________________
OBJECTIVE (WHAT FOR?)_______________________________________________
REASON (WHY THIS SPECIFIC MATERIAL?)
OUTCOME (DID YOU LIKE IT?)___________________________________________
(DID YOU LEARN SOMETHING?)_________________________________________
PROCESS REPORT (HOW?):
316