Questionnaire Text

Questionnaire form view entire document:  text  image

4. Place of birth
[] 8 Here
____ District
____ Canton
____ Province
If born abroad:

____ Country
_ _ _ _ Year of arrival in Costa Rica

Questionnaire instructions view entire document:  text  image

First block of questions: for all persons


Question 4: Place of Birth

This question supplies information about the geographic place where the person was born, considered this, as the place where the mother of the person resided habitually when they were born.

[p. 47]

Convenient that you ask specifically in what district, canton and province the mother resided in at the moment of birth and not simply asking about where they were born, since the majority of persons are born in hospitals, clinics, etc. that generally are not found in the same place in which the mother resided.

[Below the text is a form]

Write down the response according to the following instructions:

1. Mark the circle "here", as when being born, the mother resided in the district, canton and province where the person is found to be enumerated in your segment.
2. If at the moment of birth the mother resided in another district, write down legibly the name of the district, canton and province. If you cannot obtain the information about the canton or province, write down the district and locality.
3. If the mother resided abroad, write down the name of the country. In this case, you should ask for the year of arrival to the country and write down the four digits in the four boxes put there for this purpose.


Year of Arrival in Costa Rica

When a person was born abroad, it does not matter what country, it is defined as year of arrival in Costa Rica, which corresponds to the arrival with the purpose of establishing themselves in the country.