Questionnaire Text

Questionnaire form view entire document: text image

Section V. Characteristics of the population

6. 5 years ago, as of October 2012, was he/she living in that district?

[] 1 Not born yet
[] 2 Yes
[] 3 No

6A. In which district and province did he/she live 5 years ago?

____ 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 6: 5 years ago, as of October 2012, was he/she living in that district?

If the respondent had not been born yet, fill in the oval of option 1, "not born yet", and proceed to question 7.

If the respondent lived in the district where you are registering, fill in the oval of option 2, "yes", and proceed to question 7.

Fill in the oval in option 3, "no", if the respondent lived in a different district than the one you are registering, and proceed to question 6A, "In which district and province did she/he live 5 years ago?", in which you will register the name of the district and the province in the corresponding boxes.

Fill in the oval of option 3, "no", if the respondent lived in another country. Then in question 6A, write the name of the country in the boxes corresponding to Country.