General Information Form
Page 2
5.
Does the teacher have any health training?
( ]
[ ]
6.
Yes (please specify)
Mo
Are there any medical supplies available ac the school?
( ]
{ ]
Yes (please specify)
Mo
.
What are the primary cccupations of the people on the island?
many as apply)
( ]
[
C
(Check as
Many on government dole
Fishing
Agriculture (specify what type)
Work for industry or milicary (specify)
Describe type of homes, home construction, and condition:
9.
Do people grow any of their own food?
{ 1
{]
LO.
Yes (specify whac)
Wo
De all the people in the clinic serving area sneak one language?
{ ]
{ ]
Yes (specify what Language)
No (specify what languages—-primary languages and other languages
spoken)
What percentage of peopla in the islands speak cnglish?