Questionnaire Text

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10. Nationality

Mark the "X" circle if Costa Rican by birth.
Mark the "YX" circle if Costa Rican by naturalization. If a foreigner, write the appropriate nationality.

[] X
[] YX _ _
____

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17.- Question No. 10.- Nationality

Ask the question and write down the annotation according to the following:

17.1.- If one is Costa Rican by birth, write down an X.

17.2.- If one is a naturalized Costa Rican, write down SX.

17.3.- If one is a foreigner, write down the nationality that the person reports. If a person has more than one nationality, write down the one that is preferred.