1. How old are you? (Please click one)

Under 18	18-25	26-35	36-50	50+

2. Are you: (Please click one)

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3. Marital Status: (Please click one)

5. Do you have children with you in Northern Ireland?(Please click one)

SECTION B: EMIGRATION DATA

6. Country of Origin? (Please state)

7. Do you have British or Irish citizenship?(Please click one)

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8. Which town in Northern Ireland do you live in? (Please state)

10. How long have you been in Northern Ireland? (Please state)

(Years/Months)

11. How long do you intend to stay in Northern Ireland? (Please click one)

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12. Reasons for coming to Northern Ireland: (Please click all that apply)

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13. What level of education do you have? (Please click one)

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14. Do you feel that your educational qualifications are recognised in Northern Ireland?(Please click one)

15. How would you define your level of spoken English? (Please click one)

16. How would you define your level of written English? (Please click one)

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17(a). Are you currently in employment? (Please click one)

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(b). If no, what is your current situation? (Please click one)

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18. What is your occupation? (please state)

19 . How long have you been in your current employment?

(Years/Months)

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20. How many hours do you normally work per week?

21. What is your salary? (Please click one)

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22(a). Had you had any problems recieving your pay?(Please click one)

(b). If yes, give details:

23. Do you have a national insurance number in Northern Ireland? (Please click one)

24. Are you a member of a trade union? (Please click one)

b). If yes, which?:

25. How did you get your present job? (Please click one)

26(a). Have you had other jobs in Northern Ireland?(Please click one)

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(b). If yes, what jobs?

27. What was your job in your own country?(Please state)

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28. What type of accommodation do you live in? (Please click all that apply)

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29. How many people live in your house?(Please state)

30(a). Do you feel safe in your home? (Please click one)

(b). If no, why not?

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31. Have you had contact with any of the following? (Please click all that apply)

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32. Are you registered with a GP/doctor? (Please click one)

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33(a). Have you visited a Social Security Office? (Please click one)

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(b). If yes, for what reason(s)?

34(a). Have you visited a Housing Executive Office? (Please click one)

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(b). If yes, for what reason(s)?

35(a). Have you you been provided and interpreter by any of the Public Services? (Please click one)

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(b). If yes, which services?

36. Have you been in contact with the Police? (Please click one)

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37. If yes, what form did this contact take? (Please click all that apply)

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38. Have you experienced any problems when dealing with any of the Public Services? (Please click all that apply)

39. Have you made contact with any of the following? (Please click all that apply)

40. Since coming to Northern Ireland have you been: (Please click all that apply)

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41. Where did this occur? (Please click all that apply)

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42. Did you report the incident to any of the following? (Please click all that apply)

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43(a). Were you satisfied with the way your complaint was handled? (Please click one)

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(b). If no, give details:

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44. As part of our research we will be conducting interviews on the issues covered in this questionnaire. All interviews will be ANONYMOUS. Would you be willing to be interviewed?

44. If you would like to be interviewed please provide your name and contact details below. This information will be treated as confidential and shall not be passed on to anyone else.

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THANK YOU for completing the questionnaire � your help is invaluable in helping to understand better the experiences of migrant workers in Northern Ireland.