Questionnaire Text

Questionnaire form view entire document: text image

A. For all of the persons in the dwelling
[Applies to questions 26 - 33]

33. In which department were you born?

(Write the name of the department where the person was born and the corresponding code according to the table on the first page. If the person was born in another country, write an X in the "other country" box and write the name of the other country)

Name of the department, intendancy, or precinct ____ (Code) _ _
Other country (name of other country) ____ _ 01

Questionnaire instructions view entire document: text image

Question No. 33 Department or country of birth

[Below the text is a form.]

This question is filled out only for persons who were not born in the municipality where they are being enumerated.

Write the name of the department, administration, or precinct where a person was born. In the open boxes write the numbers of the code that corresponds to the department, administration, or precinct, according to the table of codes or numbers of the departments that you find in the first page of the form. Do not forget to do it.

If a person was born in another country, write down the name of the country, mark "x" in front of box 01 and go to question No. 34.