Questionnaire Text

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I. Geographic and Census Identification

Instructions: Transfer to these spaces the numbers corresponding to those on the cover of the folder: Municipality, District, Census Zone, Block, Enumeration Sector and Area



____Census Zone


____Enumeration Sector

[] Urban
[] Rural

For office use:
Dwelling [fill-in ovals, 2-digits, 0 through 9]
Household [fill-in ovals, 2-digits, 0 through 9]

Dwelling address

____ Street
____ Number
____ Floor
____ Apartment number
____ Locality
____ Entity

____ Route
____ Locality
____ Entity