Questionnaire Text

Questionnaire form view entire document: text image

Remember: This questionnaire should only be completed if the person is at least 16 years old and was studying or working last week.

1. Where is your workplace or school?
If the person both works and goes to school, refer to the place where he/she worked last week.

[] In my own home (skip to question 5)
[] In several municipalities (commercial traveler, truck driver, etc.) (skip to question 5)
[] In this municipality
[] In another municipality:
Municipality
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Province
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[] In another country
Country:
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