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Welcome to my questionnaire. This questionnaire is a part of my MSc thesis on "Access to public health services of Roma and Moroccan migrants in Belgium". With this questionnaire I would like to ask your help in collecting information about your own experience in Belgium regarding your access to public health services. I have tried to reduce the questions so that it does not consume much time. Your help is much appreciated. To start it, please click Continue. 
 
 
 
* What is your gender?
 
Male
 
Female
 
 
 
* What is your nationality?
 
Afghanistan
 
Albania
 
Algeria
 
Andorra
 
Angola
 
Antigua and Barbuda
 
Argentina
 
Armenia
 
Australia
 
Austria
 
Azerbaijan
 
Bahamas
 
Bahrain
 
Bangladesh
 
Barbados
 
Belarus
 
Belgium
 
Belize
 
Benin
 
Bhutan
 
Bolivia
 
Bosnia and Herzegovina
 
Botswana
 
Brazil
 
Brunei Darussalam
 
Bulgaria
 
Burkina Faso
 
Burundi
 
Cambodia
 
Cameroon
 
Canada
 
Cape Verde
 
Central African Republic
 
Chad
 
Chile
 
China
 
Colombia
 
Comoros
 
Congo
 
Costa Rica
 
Croatia
 
Cuba
 
Cyprus
 
Czech Republic
 
Democratic People's Republic of Korea
 
Democratic Republic of the Congo
 
Denmark
 
Djibouti
 
Dominica
 
Dominican Republic
 
Ecuador
 
Egypt
 
El Salvador
 
Equatorial Guinea
 
Eritrea
 
Estonia
 
Ethiopia
 
Fiji
 
Finland
 
France
 
Gabon
 
Gambia
 
Georgia
 
Germany
 
Ghana
 
Greece
 
Grenada
 
Guatemala
 
Guinea
 
Guinea-Bissau
 
Guyana
 
Haiti
 
Honduras
 
Hungary
 
Iceland
 
India
 
Indonesia
 
Iran (Islamic Republic of)
 
Iraq
 
Ireland
 
Israel
 
Italy
 
Jamaica
 
Japan
 
Jordan
 
Kazakhstan
 
Kenya
 
Kuwait
 
Kyrgyzstan
 
Lao People's Democratic Republic
 
Latvia
 
Lebanon
 
Lesotho
 
Liberia
 
Libyan Arab Jamahiriya
 
Liechtenstein
 
Lithuania
 
Luxembourg
 
Madagascar
 
Malawi
 
Malaysia
 
Maldives
 
Mali
 
Malta
 
Marshall Islands
 
Mauritania
 
Mauritius
 
Mexico
 
Micronesia (Federated States of)
 
Monaco
 
Mongolia
 
Morocco
 
Mozambique
 
Myanmar
 
Namibia
 
Nepal
 
Netherlands
 
New Zealand
 
Nicaragua
 
Niger
 
Nigeria
 
Norway
 
Oman
 
Pakistan
 
Palau
 
Panama
 
Papua New Guinea
 
Paraguay
 
Peru
 
Philippines
 
Poland
 
Portugal
 
Qatar
 
Republic of Korea
 
Republic of Moldova
 
Romania
 
Russian Federation
 
Rwanda
 
Saint Kitts and Nevis
 
Saint Lucia
 
Saint Vincent and the Grenadines
 
Samoa
 
San Marino
 
Sao Tome and Principe
 
Saudi Arabia
 
Senegal
 
Seychelles
 
Sierra Leone
 
Singapore
 
Slovakia
 
Slovenia
 
Solomon Islands
 
Somalia
 
South Africa
 
Spain
 
Sri Lanka
 
Sudan
 
Suriname
 
Swaziland
 
Sweden
 
Switzerland
 
Syrian Arab Republic
 
Taiwan
 
Tajikistan
 
Thailand
 
Togo
 
Trinidad and Tobago
 
Tunisia
 
Turkey
 
Turkmenistan
 
Uganda
 
Ukraine
 
United Arab Emirates
 
United Kingdom of Great Britain and Northern Ireland
 
United Republic of Tanzania
 
United States of America
 
Uruguay
 
Uzbekistan
 
Vanuatu
 
Venezuela
 
Viet Nam
 
Yemen
 
Yugoslavia
 
Zambia
 
Zimbabwe
 
 
 
* What is your ethnicity?
 
Hispanic or Latino
 
American Indian or Alaska Native
 
Asian
 
African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
Roma
 
Other
 
 
 
* How old are you? 
 
10-20
 
21-30
 
31-40
 
41-50
 
51-60
 
61-70
 
71-80
 
81-90
 
91-100
 
100+
 
 
 
* How long have you been living in Belgium?
 
Less than 1 year
 
1-2 years
 
2-5 years
 
more than 5 years
 
 
 
* What is your marital status?
 
Never married
 
Divorced
 
Widowed
 
Separated
 
Married
 
 
 
* Do you have legal permanent or temporary residence in Belgium?
 
Yes
 
No
 
 
 
* If you do not have a legal permanent or temporary residency permit in Belgium, have you ever had it? If so, when did you lose it? (Please reply by indicating 'yes + date' or 'no')
 
Yes, I used to have it and I lost it in ....
 
No
 
Other
 
 
 
 
Have you ever needed to use public health services in Belgium? If so, did you face any difficulties? If your answer is yes, please elaborate about the difficulties you have faced. 
 
No
 
Yes, in details:
 
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