Questionnaire Text

2022 ACS
2021 ACS
2016 ACS
2011 ACS
2006 ACS
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2022 ACS
Questionnaire form view entire document:  text  image
b) Where did this person live 1 year ago?
Address (Number and street name)

___________________________________

___________________________________

Name of city, town, or post office

___________________________________

Name or U.S. county or municipio in Puerto Rico

____________________________________

Name of U.S. state or Puerto Rico

____________________________

ZIP Code
[ ][ ][ ][ ][ ]

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2021 ACS
Questionnaire form view entire document:  text  image
b) Where did this person live 1 year ago?
Address (Number and street name)

___________________________________

___________________________________

Name of city, town, or post office

___________________________________

Name or U.S. county or municipio in Puerto Rico

____________________________________

Name of U.S. state or Puerto Rico

____________________________

ZIP Code
[ ][ ][ ][ ][ ]

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2016 ACS
Questionnaire form view entire document:  text  image
b) Where did this person live 1 year ago?
Address (Number and street name)

___________________________________

___________________________________

Name of city, town, or post office

___________________________________

Name or U.S. county or municipio in Puerto Rico

____________________________________

Name of U.S. state or Puerto Rico

____________________________

ZIP Code
[ ][ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image
15b. Include the house or structure number; street name; street type (for example, St., Road, Ave.); and the street direction (if a direction such as "North" is part of the address). For example, print 1239 N. Main St. or 1239 Main St., N.W., not just 1239 Main. If the person lived in Puerto Rico, the address should also include the name of the development or condominium.

If the only known address is a post office box, give a description of the residence location. For example, print the name of the building where the person lived, the nearest intersection, the name of a military base or installation, or the nearest street where the residence was located, etc. DO NOT GIVE A POST OFFICE BOX NUMBER.

Print the name of the U.S. county or the name of the municipio if in Puerto Rico. If the person lived in Louisiana, print the parish name in the "Name of U.S. county or municipio in Puerto Rico" space. If the person lived in Alaska, print the borough or census area name, if known. If the person lived in New York City and the county name is not known, print the borough name. If the person lived in an independent city (not in any county) or in Washington, D.C., leave the "Name of U.S. county or municipio in Puerto Rico" space blank.


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2011 ACS
Questionnaire form view entire document:  text  image
b) Where did this person live 1 year ago?
Address (Number and street name)

___________________________________

___________________________________

Name of city, town, or post office

___________________________________

Name or U.S. county or municipio in Puerto Rico

____________________________________

Name of U.S. state or Puerto Rico

____________________________

ZIP Code
[ ][ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image
15a. If the person did not live in the United States one year ago, mark the "No, outside the United States and Puerto Rico" box and print the name of the foreign country, or U.S. Virgin Islands, Guam, etc., where the person lived. Be specific when printing the name of foreign country, for example, specify whether Northern Ireland or the Republic of Ireland (Eire); North or South Korea; England, Scotland or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (not, for example, West Indies). Then SKIP to question 16.

If the person lived somewhere else in the United States one year ago, mark the "No, different house in the United States" box.

15b. Include the house or structure number; street name; street type (for example, St., Road, Ave.); and the street direction (if a direction such as "North" is part of the address). For example, print 1239 N. Main St. or 1239 Main St., N.W., not just 1239 Main. If the person lived in Puerto Rico, the address should also include the name of the development or condominium.

If the only known address is a post office box, give a description of the residence location. For example, print the name of the building where the person lived, the nearest intersection, the name of a military base or installation, or the nearest street where the residence was located, etc. DO NOT GIVE A POST OFFICE BOX NUMBER.

Print the name of the U.S. county or the name of the municipio if in Puerto Rico. If the person lived in Louisiana, print the parish name in the "Name of U.S. county or municipio in Puerto Rico" space. If the person lived in Alaska, print the borough or census area name, if known. If the person lived in New York City and the county name is not known, print the borough name. If the person lived in an independent city (not in any county) or in Washington, D.C., leave the "Name of U.S. county or municipio in Puerto Rico" space blank.


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2006 ACS
Questionnaire form view entire document:  text  image
15.
a) Did this person live in this house or apartment 1 year ago?
[ ] Person is under 1 year old -> SKIP to question 16.
[ ] Yes, this house ->SKIP to question 16
[ ] No, outside the United States and Puerto Rico - Print name of foreign country, or U.S. Virgin Islands, Guam, etc., below; then SKIP to question 16.

______________________________
[ ] No, different house in the United States or Puerto Rico
Questionnaire instructions view entire document:  text  image
14a. If the person is a baby under one year of age, mark the "Person is under 1 year old" box. Then skip to the questions for the next person. Do not complete any more questions for the baby.

If the person lived in the same house or apartment one year ago, mark the "Yes, this house" box and then go to instruction F.

If the person did not live in the United States one year ago, mark the "No, outside the United States" box and print the name of the foreign country, or Puerto Rico, Guam, etc., where the person lived. Be specific when printing the name of foreign countries, for example, specify whether Northern Ireland or the Republic of Ireland (Eire); North or South Korea; England, Scotland or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (not, for example, West Indies). Then go to instruction F.

If the person lived somewhere else in the United States one year ago, mark the "No, different house in the United States" box. Then in items 14b and 14c, provide the city, county, state and ZIP code where the person lived one year ago.