Questionnaire Text

Questionnaire form view entire document: text image

Section V. Characteristics of the population

5. Does he/she live permanently in this district?

[] 1 Yes -- Go to Question 6
[] 2 No

5A. In which district and province?

____ District
____ Province / Country

If living abroad, write the name of the country only.

Questionnaire instructions view entire document: text image

For all persons
[Questions 1 to 10 are asked of all persons]

Question 5: Does he/she live permanently in this district?

If the respondent lives in the district where you are registering, fill in the oval in option 1, "yes" and go to question 6.

Fill in the oval in option 2, "no", if the respondent lives permanently in a district other than the one in which you are registering. Proceed to question 5A. In which district and province does he/she live permanently? and write down the name of the district and province in the corresponding boxes.

Fill in the oval of option 2, "no", if the respondent lives permanently in another country. Then, in question 5A, write down the name of the country in the box corresponding to Country.

Remember!

- The place where a person lives permanently is the place he/she considers as such.

- Example 1: In the district of Surco, Miss. Andrea Blas is being registered, and she answers that she lives permanently in this district, then:

- Example 2: In the district of Talara, Mr. Juan Barriga is being registered, who responds that he lives permanently in the district of El Tambo, province of Huancayo; he is there (Talara) for work, then: