1990 National Population Census Questionnaire
Reference time: 00:00 July 1, 1990
Respondents must provide information honestly.
Enumerators must record the answers accurately.
Household address ____
Enumeration district ____
Enumeration area
Street ____
Name of the institutional household ____
Respondent: ____
Enumerator: ____
Date: ____
Month: _ _
Day: _ _
Head of household: ____
Total pages: _ _
Page No.: _ _
Page in the booklet: _ _
1. Serial Number of the household: _ _ _
2. Household type:
[] Institutional.
3. Number of persons in the household:
F: _ _ _
Total: _ _ _
4. Number of births in the household in the
F: _ _ _
Total: _ _
F: _ _
Total: _ _
F: _ _
Total: _ _
5. Number of deaths in the household in the:
F: _ _
Total: _ _
F: _ _
Total: _ _
F: _ _
Total: _ _
6. Number of persons in the household away from this country or city for more than 6 months:
F: _ _
Total: _ _
2. Relationship to head of household:
[] 2 Spouse
[] 3 Child
[] 4 Grandchild
[] 5 Parent
[] 6 Grandparent
[] 7 Other relative
[] 8 Non-relative
4. Age: _ _ _
Born in the month: _ _
6. Status and nature of registration:
a)
[] 2 Residing here over 1 year, but registered elsewhere
[] 3 Living here less than 1 year absent from reg. place over 1 year
[] 4 Living here with registration unsettled
[] 5 Used to reside here; is now abroad with no registration
b)
[] 2 Non-agricultural registration
7. Status of permanent residence before July 1, 1985:
a)
[] 2 Residence in other county/city in the same province
[] 3 Residence in other province ____
b)
[] 2 Residence in town
[] 3 Residence in township
8. Reasons for migration:
[] 2 Job assignment
[] 3 Work/business
[] 4 Study/training
[] 5 To relative/friend
[] 6 Retired/resigned
[] 7 Move with family
[] 8 Marriage
[] 9 Other
9. Educational level:
a)
[] 1 Illiterate or semi-literate
[] 2 Primary
[] 3 Junior middle
[] 4 Senior middle
[] 5 Technical secondary
[] 6 2-year college or certificate
[] 7 College or university
b)
[] 1 Student
[] 2 Graduate
[] 3 Attended, but did not graduate
[] 4 Other
[Questions 10-13 were asked of persons age 15 and older.]
12. Status of non-working people:
[] 2 Housekeeping
[] 3 Awaiting school enrollment
[] 4 Awaiting job assignment in city/town
[] 5 Retired
[] 6 Disabled/aged
[] 7 Others
13. Marital status:
[] 2 Married
[] 3 Widowed
[] 4 Divorced
14. No. of children ever born and now living:
a) Children born alive:
Male: _____
Female: _____
b) Children living at present:
Male: _____
Female: _____
15. Birth since Jan. 1, 1989:
[] 0 No birth
[] 1 Baby boy born in the 1st half 1989
[] 2 Baby girl born in the 1st half 1989
[] 3 Baby boy born in the 2nd half 1989
[] 4 Baby girl born in the 2nd half 1989
[] 5 Baby boy born in the 1st half 1990
[] 6 Baby girl born in the 1st half 1990