Republic of Chile
National Institute of Statistics
15th National Population Census and 4th Housing Unit Census
1982
Census Form
Instructions
Fill in the following spaces with the numbers that correspond to the following information on the front of the census form: Municipality/town, district, census zone, sector of enumeration, and area.
Then, fill in the ovals located beneath the indicated number,
For example: if the municipality/town is number 680, fill in the circles 6, 8, and 0.
If the district is number 3, you will fill in the ovals 0 and 3, and continue in this
manner with the other numbers.
Sector/area of enumeration ____
Area:
____Rural
Address of the Housing Unit:
House number ____
Floor ____
Department number ____
Town ____
Entity ____
Category ____
What is the first and last name of each person who stayed in the housing unit the preceding night?
Note the first and last name of each person in the following order:
Spouse of live-in partner
Unmarried children from oldest to youngest
Married children, their spouses, and their children
Other family members (Parents, parents-in-law, uncles and aunts, nieces and nephews, etc.)
Other people who are not related to the head of the household (guests, domestic servant, friends, etc.)
B. Number of People in the Household
If there are more than six people, use a second census form, repeating: Housing unit number, identification number and geographic location.
Note in these spaces the total of persons in the home.
Men:____ Women:____ Total:____
C. Type of Home
Single family home ____
Collective home ____
Information on the Housing Unit
1. Occupation of the Housing Unit
A. Occupied
2. With people who are absent ____
B. Unoccupied
4. New
5. Temporary (for vacation, workers, etc.)
6. Because of demolition
7. For another reason
2. Type of Housing Unit
A. Single family Housing Unit
2. Apartment
3. Improvised hut made of light construction material (mejora, emergencia)
4. Tenement housing
5. Shanty, improvised dwelling (callampa)
6. Shack in a farm (rancho), Indian dwelling, rustic huts
7. Mobile (tent, car, etc)
8. Other (specify)
B. Collective Housing Unit
10. Hotel, Motel, Inn
11. Institution (Hospital, Boarding school, Convent, Barracks, etc.)
12. Other (specify)
-If the housing unit is unoccupied and you have completed questions 1 and 2, end the interview.
-If the housing unit is collective, continue on to section III: Persons in the Home.
Only for occupied dwellings [applies to questions 3 to 7]
3. What is the predominant construction material of the dwelling?
A. Principal walls
[] 1 Concrete, brick or cement block, stone
[] 2 Wood, plank (with iron, slate or other siding)
[] 3 Adobe
[] 4 Mud-and-stick, clay with straw, stone
[] 5 Waste material (tin, cardboard box, and/or various other waste materials)
[] 6 ____ Other materials (specify)
B. Roof covering
[] 1 Zinc, copper, or galvanized iron
[] 2 Slate
[] 3 Tile
[] 4 Wooden tile
[] 5 Tar corrugated paper sheets
[] 6 Flat straw
[] 7 Other material (specify)
C. Floors
[] 1 Parquet, tile
[] 2 Wood floor
[] 3 Carpet (from wall to wall)
[] 4 Plastic (flexit or other)
[] 5 Cement tile
[] 6 Brick, flatwork
[] 7 Earth
[] 8 Other material (specify)
4. Do you have electric lighting?
2. No ____
5. Do you obtain water from a plumbing system
1. Yes
____2. A plumbing system outside of the housing unit?
2. No ____
6. What is the origin of the water that is used in this housing unit?
2. Well or waterwheel ____
3. River, stream, spring, etc. ____
4. Other, specify ____
7. How many homes are there in this housing unit?
2, 3, 4 or more ____
If in the housing unit there is more than one home, remember to use separate census forms (identification forms?)
In these cases, fill in only questions 8 to 16 and continue on to section III: Persons in the home.
8. Is there a toilet?
For exclusive use of the home?
2. No ____
(Continue to question 10)
9. The toilet is:
2. Latrine
3. Outhouse
4. Connected to another type of system
10. Is there a shower or tub
1. Yes
2. No ____
2. No
(Continue to question 11)
11. What is the condition of ownership of the home?
2. Rented ____
3. Received for services ____
4. Free ____
5. Other (specify) ____
12. Do you have a kitchen?
2. No ____
13. What is the principle method used for cooking?
2. Paraffin ____
3. Wood or Coal ____
4. Electricity ____
5. Other (specify) ____
6. No cooking ____
4. How many rooms does this home have (excluding bathrooms and the kitchen)?
a. Total of rooms
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 or more ____
b. Rooms that are exclusively used as bedrooms
1 ____
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 or more ____
c. Bedroom and another use
1 ____
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 or more ____
d. For use of work only
1 ____
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 or more ____
e. Other rooms
1 ____
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 or more ____
15. How many beds are regularly used in the home?
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 ____
11 ____
12 ____
13 ____
14 or more ____
16. Does the home have any of the following devices or vehicles?
2. Sewing machine
3. Bicycle
4. Black and white television
5. Color television
6. Washer
7. Refrigerator
8. Polisher, vacuum cleaner
9. Telephone
10. Motorcycle
11. Automobile, or truck (for exclusive use of the home)
12. None of the mentioned
Person Number: ____ First and Last Names: ___________
1. What is your relationship to the head of the household?
2. Spouse ____
3. Live in partner ____
4. Son/daughter ____
5. Son or daughter in-law ____
6. Grandchild ____
7. Parents or Parents in-law ____
8. Another family member ____
9. Not a family member ____
10. Member of a collective household ____
2. Sex
____2. Female
3. How old are you? ____
For those under 1 year of age, mark '00'
For those younger than 10 years of age, mark 01, 02, 03, etc.
For those who are ten and older, mark 10, 19, 43, 65, etc according to the corresponding age
For those older than 99 years of age, mark 99.
4. In what community were you born?
In this community ____
In another community
Province ____
In another country
What is your legal nationality? ____
2. Foreigner ____
5. In what community do you habitually reside?
In this community ____
In another community in this country
Province ____
In another country
6. In what community did you habitually live in during the past five years?
In another community in this country
Name of the province ____
7. Do you or did you attend an educational establishment?
3. Never attended school (pass on to question 9) ____
8. What is the last year that you passed and in what type of education was this study?
Year:
1. First year ____
2. Second year ____
3. Third year ____
4. Fourth year ____
5. Fifth year ____
6. Sixth year ____
7. Seventh year ____
8. Eight year ____
9. None ____
Type of Schooling:
2. Media ____
3. Humanities ____
4. Commercial ____
5. Industrial ____
6. Agricultural ____
7. Feminine technical ____
8. Teacher-training ____
9. Professional institute ____
10. University ____
9. Only for those who answered that they attend/attended fourth year basic or primary or never attended
Do you know how to read and write?
If you only know how to read or only how to write, fill in 'no'
2. No ___
For all those age 15 and older
10. How did you spend the majority of your time in the past week?
A.
2. You worked for a family member without pay in the form of money
3. You had a job, but did not work (because of sickness, vacation, leave, etc.)
4. Unemployed (having worked before)
If you selected one of these alternatives (1-4), continue on to question 11 and those questions following it.
B.
C.
7. Student
8. As a renter or living only on your pension
9. Permanently incapacitated and unable to work.
10. Another situation
If you selected one of these alternatives (5-10) and are a woman, pass on to question 14, if you are a man, pass on to question 18.
11. Describe the occupation that you have, or had, if you are unemployed.
Ex: Builder (bricklayer), Doctor, Manager, Director, Tailor, Auto mechanic, Sewing machine operator, Secretary, Accountant, Statistician.
12. In this work you are or were ____
2. Laborer
3. Employer or Boss
4. Self-employed
5. Unpaid family member
6. Employed in domestic service in the home
13. Describe what the establishment, company, business, factory, etc is primarily dedicated to where you work (or worked, if you are unemployed)
For all women 15 years of age and older
14. Have you given birth to live born children?
2. No ____
3. You don't know ____
For answers 2 and 3, continue on to question 18.
15. How many living children have you given birth to?
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 ____
11 ____
12 ____
13 ____
14 or more ____
16. Of these, how many are still living?
2 ____
3 ____
4 ____
5 ____
6 ____
7 ____
8 ____
9 ____
10 ____
11 ____
12 ____
13 ____
14 or more ____
17. In the last twelve months have you given birth to a live born?
1. Yes
2 or more ____
2. No (continue on to question 18)
For all persons 15 or older
18. What is your marital status?
2. Live-in partner ____
3. Single ____
4. Widowed ____
5. Separated ____
6. Annulled ____