Questionnaire Text

Questionnaire form view entire document:  text  image

[Questions 11-18 were asked of persons age 5 or older]


11. Five years ago, during this month in 2000, in which municipality did [the person] live in?

[] 1 Here, in this municipality
[] 2 Other municipality

Which municipality? ____
In which department? ____

[] 3 In another country: ____

In what year did [the person] arrive in Nicaragua? ___ (continue to question 13)

Questionnaire instructions view entire document:  text  image

For persons age 5 or older (Questions 11-18)


Question 11. Five years ago, in this month of 2000, in which municipality did [the person] live in?

If the answer is "Here, in this municipality", mark an "X" next to option 1 and go to question 12.

If the answer is "Other municipality", mark an "X" next to option 2, write the complete name of the municipality and department and go to question 12.

If the answer is "In another country", mark an "X" next to option 3 and write the complete name of the country.

Use four digits to write the year in which the person arrived in Nicaragua and go to question 13.