Questionnaire Text

Questionnaire form view entire document:  text  image

For all those 5 and older


6. In what community did you habitually live in during the past five years?

In this community ____
In another community in this country

Name of the community ____
Name of the province ____

In another country

Name of the country ____

Questionnaire instructions view entire document:  text  image

6. In what municipality did you usually live five years ago?

If the person lived in the same municipality in which they are being enumerated, fill in the oval that corresponds to the option in this municipality.

If the person who is being enumerated lived in another municipality 5 years ago, write down the name of that municipality and the province to which it belongs.

If the person was living abroad 5 years ago, write down only the name of the country.

[The above directions refer to a picture of question 6 in this section of the enumeration form.]