Questionnaire Text

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For persons born on or before 1-4-1984 (aged 5 and over) answer following questions [applies to questions 6 to 8]


6. Place where usually lived on 1-4-1984 (i.e. 5 years ago)

[] 1 The same district
[] 2 Another district of the same province
_ _ Name of the district
[] 3 Another province
_ _ Name of the province
[] 4 Abroad

Questionnaire instructions view entire document:  text  image

6. Place where usually live on 4/1/1984 (5 years ago):
Persons who were born before April 1st, 1984 (5 years of age and older) answer this section.


6. Place where you usually lived on 1-4-1984 (i.e. 5 years ago)

[] 1 The same district
[] 2 Another district of the same province
_ _ Name of the district
[] 3 Another province
_ _ Name of the province
[] 4 Abroad