Prototype 2

Person 1
10. Does Person 1 sometimes live or stay somewhere else?

12. Where does Person 1 live or stay most of the time?

No ➔ SKIP to Person 2 if more people live here.

The address printed on the front of this questionnaire

Yes — Mark ✗ all that apply.

The address or location you listed in Question 11

In college housing

At a seasonal or second residence

In the military

With a parent or other relative

For a job or business

In jail or prison

In a nursing home

For another reason

Both places equally
Some other place

13. On September 1, 2015, where was Person 1 staying?

11. If you marked yes to Question 10, please provide the full

The address printed on the front of this questionnaire

address of the other place where Person 1 sometimes
lives or stays. Fill out the parts that apply only to your
address.

The address or location you listed in Question 11
Some other place

Address Number
For example: 5007 (in the address 5007 Ave. Martínez)

➜ If more people were counted in Question 1
on the front page, continue with Person 2.

Street Name / Carretera / Ramal
For example: Calle Santana, Ave. Martínez, Carr 480 or Ramal 7415

Barrio / Barriada / Sector / Comunidad / Parcela (if applicable)
For example: BO Tibes or BDA La Perla or SECT Hevia

Urbanization (if applicable)
For example: Urb Los Reyes

Condominium or Residencial (if applicable)
For example: COND Ponce de León or RES José Martí

Building Number and Apartment Number (if applicable)
For example: Torre B Apt. 23 or Apt. 5

Municipio or City

ZIP Code

§,=SG¤

PR or U.S. state

11285038

➜ NOTE: Please provide a location description below if there is

no address (such as a kilometer marker) or if this is a facility.

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