Questionnaire Text

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

15. Is the educational institution, school, high school, or university you attend located:

(Read each alternative and fill in only one oval)

[] 1 Here, in this district?
[] 2 In another district (Specify)
____ District
____ Province / Country
Questionnaire instructions view entire document:  text  image
For people of 3 years of age and older
[Questions 11 to 15 are asked of persons age 3 or older]

Question 15: Is the educational institution, school, high school, or university you attend, located:

- If the educational institution is located in the district where you are registering him/her, fill in the oval of option 1, "Here, in this district?".

- Fill in the oval in option 2, "In another district?" if the educational institution is located in a different district from the one you are registering him/her. Then write down the district and province where it is located.