Questionnaire Text

Questionnaire form view entire document:  text  image

16. Place of usual residence ten years ago (March 1, 1981, the date of the previous Population Census)
[] 1 Not yet born
[] 2 Resided in this municipality, in this same housing unit
[] 3 Resided in this municipality, in another housing unit
[] 4 Resided in another municipality in Spain:
Municipality:
_ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _
Province:
_ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _
[] 5 Resided in a foreign country
Country:
_ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _