Questionnaire Text

Questionnaire form view entire document:  text  image

For all individuals:
[Questions 1-10 -- are for all person]


9. The city or town where you lived before is in:

[] This same state
[] Another state

____ Which?

[] Another country

Questionnaire instructions view entire document:  text  image

Questions 1-10 -- are for all persons

Every person in the household should be asked these questions.

-- In the case of people who are absent or of small children, ask the Head of Household or the person who can give the most reliable information.


Question No.9

[Last city lived in]
[The instructions refer to a graphic of section VI, question 9 on the census form.]

-- Read the question and the possible answers and fill in the corresponding cell.

-- If the answer is another state, ask which one and write down the answer in the space provided.