Questionnaire Text

Questionnaire form view entire document:  text  image

8. Where in the country did you live before settling here?
Write the name of the city, town or hamlet and the district to which it belongs. If in the Panama Canal Zone, write "Canal Zone". If directly from abroad, write the name of the country of origin.

Place ________
District ________

Questionnaire instructions view entire document:  text  image

(Applicable to persons of all ages)
(Questions 1-10)


Question 8 Where in the country did you live before settling here?

Write in the corresponding space the name of the pertaining city, town or hamlet and its district. If the person lived in the Panama Canal Zone, write "Canal Zone". If directly from a foreign country, write the country of origin.

[p. 38]

Draw a diagonal line if the person has "always" lived in or is "in transit" in the locality of the enumeration.