Professional Documents
Culture Documents
Enterprise No.
Enterprise Name
EXIT QUESTIONNAIRE
October 2005
Interviewer
Supervisor
Time begun
Month
Year
Time finished
EXIT QUESTIONNAIRE
Previously surveyed enterprises no longer in existence
XQ1
Number of enterprise
_____________(Xq1)
XQ2
a) Name of respondent
_____________(Xq2a)
b) Position of respondent
_____________(Xq2b)
Code: Owner (1), Manager (2), Relative (3), Friend (4), Neighbour (5) Other (6)
c) Gender of owner
_____________(Xq2c)
XQ3
_____________(Xq2d)
a) City/Province (Headquarters)
_____________(Xq3a)
Code: Ha Noi (1), HCMC (2), Hai Phong (3), Ha Tay (4), Long An (5), Phu Tho (6), Quang Nam (7), Nghe An (8), Khanh Hoa
(9), Lam Dong (10)
XQ4
_____________(Xq3b)
a) District (Headquarters)
_____________(Xq4a)
_____________(Xq4b)
c) What type of zone was the main production facility located in?
_____________(Xq4c)
Code: Residential zone (1), Industrial zone for SMEs (2), Industrial Park (3), Other (4). The answer should reflect the location of
the main production facility of the enterprise.
XQ5
XQ6
Month
_____________(Xq5a)
b) Year
_____________(Xq5b)
_____________(Xq6)
Code: Household establishment/business (1), Private (sole proprietorship) (2), Partnership (3), Collective/Cooperative (4),
Limited liability company (5), Joint stock company with state capital (6), Joint stock company without state capital (7), Joint
venture with foreign capital (8), State enterprise (central) (9), State enterprise (local) (10)
XQ7
_____________(Xq7)
Code: (List only one according to 3-digit ISIC classification Revision 2, see manual for details)
XQ8
How many employees did the firm have just before closing down?
_____________(Xq8)
XQ9
_____________(Xq9a)
_____________(Xq9b)
c)
_____________(Xq9c)
_____________(Xq9d)
e)
_____________(Xq9e)
Other reason
If firm could not sell at profit or went bankrupt (answer a) what was the reason for this (List in order of
importance: Most important = 1, Second most important = 2, etc.)
f)
_____________(Xq9f)
_____________(Xq9g)
_____________(Xq9h)
i)
_____________(Xq9i)
j)
_____________(Xq9j)
_____________(Xq9k)
l)
_____________(Xq9l)
m) Other, specify
XQ10
_____________(Xq9m)
What is the previous owner(s) main occupation now? (List only main occupation)
_____________(Xq10)
Code: Working in agriculture (1), Self-employed, same line of business as before (2), Self-employed, new line of business (3),
Employed for wages in same line of business as before (4), Employed for wages, new line of business (5), Unemployed (6),
Retired (7), Dead (8), Other (9)
XQ11
How has the total household income of the owner(s) changed in real terms since the closure of the
enterprise?
_____________(Xq11)
Code: -100% to -51% (1), -50% to -26% (2), -25% to -1% (3), no change (4), 1 to 25 percent (5), 26 to 50 percent (6), 51 to 100
percent (7), over 100 percent (8), Dont know (9)