Questionnaire Text

Questionnaire form view entire document:  text  image
Only for people 5 years or older
[Questions 15-17 are only applied to persons aged 5 and older]

19. Where did [the respondent] live five years ago? (May 2006)

[] 1 In this canton (go to 20)
[] 2 In another canton

_____ In which canton? (go to 20)
In which province? (go to 20)

[] 3 In another country

Which country?
[] Nicaragua
[] United States
[] Colombia
[] El Salvador
[] Panama
[] Honduras
_____ Another country

Questionnaire instructions view entire document:  text  image
Questions 15 to 19 should be asked questions to people 5 years or older.

Question 19: Place of residency five years ago

19. Where did [name] live five years ago? (May 2006)

[] 1 In this canton (go to 20)
[] 2 In another canton
_____ In which canton? (go to 20)
In which province? (go to 20)
[] 1 San Jose
[] 2 Alajuela
[] 3 Cartago
[] 4 Heredia
[] 5 Guanacaste
[] 6 Puntarenas
[] 7 Limon
[] 3 In another country
Which country?
[] Nicaragua
[] United States
[] Colombia
[] El Salvador
[] Panama
[] Honduras
_____ another country

The place of residency five years ago refers to the place of habitual residency of each person in May 2006. The possible situations are:

In this canton: if the reference person lived in the same canton five years ago as the current residency mark option 1 and proceed to question 20.

In another canton: if the reference person lived in a different canton five years ago from the current one, mark this alternative, request the name of the canton and province and note the corresponding information. If he/she does not know the canton, note the name of the district or the population center or some other reference that can help to determine the correct canton. In this case you must also mark the province. Proceed to question 20.

In another country: if the reference person was found living habitually abroad five years ago, mark this option, and then request and mark the name of the country, if it appears on the list. If the country is not on the list, note it in the blank spaces.