Questionnaire Text

Questionnaire form view entire document: text image

[Questions 1 - 8 are] For all individuals

6. Does ____ belong to any of the following cultures?

[] 1 Indigenous
[] 2 Afro-Costa Rican or Black
[] 3 Asian (China)
[] 4 None of the above

Questionnaire instructions view entire document: text image

First block

For all persons

Question 6: Ethnicity

The objective of this question is identifying the principle ethnic groups of the country, that will permit knowing the ethnic composition of its population and the demographic and social situation of its members.

[To the right of the text is a form.]

You should ask the question to all persons, nationals and foreigners, especially when they are not present.

An "X" should be marked according to the ethnic group or culture that the person declares to belong to.

In the category "China" only persons who belong to the cultural tradition of Continental China, Taiwan and Hong Kong are included.