Questionnaire Text

Questionnaire form view entire document: text image

A. General Information

For all individuals regardless of age (including newborn infants)
[Questions 1-8 were asked of all persons.]

7. Where did you habitually reside 5 years ago? (1971)

If habitually residing in this same locality, mark "Here," if residing in another place, first write as concretely as possible the locality and then the province and department. If residing outside of Bolivia write only the name of the country.

[] Here
____ Other locality
____ Province
____ Department or other country

Questionnaire instructions view entire document: text image

Question 7. Where did you live 5 years ago? (1971)

If they resided regularly in this locality, mark "Here."

[p. 26]

If they resided regularly in another place, write down the locality as concretely as possible, and then the providence and department.

If they resided regularly away from Bolivia, write down only the country.