Questionnaire Text

Questionnaire form view entire document:  text  image
Section V. Characteristics of the population

7. When you were born, did your mother live in that district?

[] 1 Yes -- Go to question 8
[] 2 No
7A. In which district and province did your mother live?
____ 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 7: When you were born, did your mother live in that district?

If the respondent's mother lived in the same district you are registering, fill in the oval in option 1, "Yes", and proceed to question 8.

Fill in the oval in option 2, "no", if the respondent's mother lived in a different district than the one in which you are registering. Then in question 7A, "In which district and province did your mother live?", write down the name of the district and province as appropriate.

Fill in the oval of the option 2, "no", if the respondent's mother lived in another country. Then in question 7A, "In which district and province did your mother live?", enter the name of the country in the corresponding boxes for Country.

Example: In the district of RĂ­mac, province of Lima, Mr. Hedilberto is being registered, who reports that when he was born, his mother lived permanently in the district of Chalcos, province of Sucre.