Questionnaire Text

Questionnaire form view entire document: text image

C. For persons five years old or more.
[Applies to questions 35 - 41]

36. In which department did you live in 1980?

(Write the name of the department and the corresponding code according to the table on the first page.)

Name of the department, intendancy, or precinct ____ (Code) _ _

Questionnaire instructions view entire document: text image

C. For persons 5 years old or older

(Question 35 to 41)

Take care to fill out this part C of Section V, only for persons who are 5 years old or older.

Question No. 36 Department where you lived in October 1980

[Below the text is a form.]

This question is asked only to persons who in October 1980 lived in another municipality.

Write the name of the department where the person lived in October 1980. In the open boxes write the code or number that corresponds to this department, according to the table that appears on the first page of the form.