Questionnaire Text

Questionnaire form view entire document:  text  image

For all individuals [applies to questions 1 to 6]


5. When you were born, in what municipality or place did your mother live?

[] 1 In this municipality

In another municipality

____ Name of the municipality or place
____ Province


In another country
____ Name of the country


Year of arrival in this country [fill-in ovals, 2 digits, 0 through 9]
Questionnaire instructions view entire document:  text  image

5. What municipality was your mother living in when you were born?

If their mother was living in the same municipality where the person is being enumerated, fill in the corresponding circle, 1."In this municipality".

If the person reports that when they were born their mother was living in another municipality, record the name of the municipality and/or place and the province to which it belongs.

If the person being enumerated was born abroad and their mother resided there, record the name of the country and, in the box, the year in which the person arrived in Chile, but don't fill in the circles that are found underneath this question.

[The above directions refer to a picture of question 5 in this section of the enumeration form.]