Republic of Cuba
National Office of Statistics and Information
Population and Housing
Census
Cuba 2012
[p. 1]
____ Sheet number
____ Housing unit number
The information requested is obligatory and confidential. Article 8, Decree 291 of 2011.
Section I. Geographical location and address of the housing unit
____ Province
____ Municipality
____ Settlement
Plan Turquino
[] 3 No
____ District
____ Segment
____ Block
____ Popular council
____ Street or avenue
____ Number
____ Apartment
____ Floor
____ Cross-streets
____ Highway, road, km.
____ Name of the estate or site
Housing unit number ____
Total households _
Household number _
Total people in this household
_ _ Male
_ _ Female
_ _ 16-59
_ _ 60 and above
Plan Turquino _
Popular council _ _
Settlement _ _ _
Block_ _ _ _
Section II. Classification of housing units
[] 1 Private housing: go to Section III. Private housing data.
[] 3 Workplaces (with permanent residents): go to Section IV. Personal data.
[] 5 Collective housing (with permanent residents): go to Section IV. Personal data.
Section III. Private housing data
[Applies to questions 1-16]
[] 1 House
[] 2 Apartment
[] 3 Room in bunkhouse or tenement
[] 4 Thatched hut [Bohio]
[] 5 Improvised
[] 6 Other (go to section IV)
If answered 3-5, end of interview
[] 1 By permanent residents
[] 2 By absent occupants (closed)
[] 3 By temporary residents
[] 4 Seasonally
[] 5 No one (vacant)
3. What is the status of the home?
[] 1 Personal property
[] 2 State leased
[] 3 Vinculada or media básico [public ownership ceded in use]
[] 4 Other
[] 5 Unknown
4. What is the date of construction of the home?
[] 01 Before 1920
[] 02 From 1920 to 1933
[] 03 From 1934 to 1945
[] 04 From 1946 to 1958
[] 05 From 1959 to 1970
[] 06 From 1971 to 1981
[] 07 From 1982 to 1989
[] 08 From 1990 to 2001
[] 09 From 2002 to the date of the census
[] 10 Unknown
5. What is the main material in the home's...
[] 2 Beam and slab
[] 3 Wood and mud shingle
[] 4 Wood and tar paper
[] 5 Fiber cement sheet
[] 6 Metallic plate
[] 7 Wood and palm leaf
[] 8 Other
[] 2 Cement
[] 3 Wood
[] 4 Dirt
[] 5 Other
[] 2 Wood
[] 3 Adobe or mud
[] 4 Palm planks
[] 5 Other
6. What defects are present in the home ...
[] 2 Leak
[] 3 Moisture
[] 4 Warping or chipping
[] 5 Crack
[] 6 Exposed steel
[] 7 Rotten wooden in supports
[] 8 None
[] 2 Exposed steel
[] 3 None
[] 4 None of the above
[] 2 Collapse
[] 3 Warping or chipping
[] 4 Leak
[] 5 Sinking of the floor
[] 6 None
[] 3 No
_ _ B) How many bedrooms does the home have?
_ _ C) How many rooms are commonly used for sleeping?
8. Does the home have a place to cook?
[] 1 Used exclusively by the home
[] 2 Shared by several homes
[] 3 Not present
9. What type of fuel do you use most often for cooking?
[] 1 Electricity
[] 2 Manufactured gas (from pipes)
[] 3 Liquefied gas (from a tank)
[] 4 Kerosene
[] 5 Petroleum
[] 6 Alcohol
[] 7 Wood, charcoal, or other
[] 8 None
[] 2 By pipes outside of the home
[] 3 By haulage and/or water truck
[] 2 Well
[] 3 River or spring
[] 4 Other
[] 2 Daily (less than 24 hours)
[] 3 On alternate days
[] 4 Up to once a week
[] 5 Other
[] 3 No
[] 3 No (go to question 11)
[] 2 Electric pump
[] 3 Internal combustion pump
[] 4 Windmill
[] 5 Hand pump
[] 6 Other
11. What kind of waste water system does the home have?
[] 1 Sewage system
[] 2 Pit or septic tank
[] 3 Other
12. How is garbage normally disposed of in the home?
[] 1 Pick-up at home
[] 2 Emptied into a container or public receptacle
[] 3 Dumped in a landfill or common area
[] 4 Burned
[] 5 Buried
[] 6 Removed in another way
A) Does the home have a bath or shower with running water and drainage...?
[] 2 Shared by several homes
[] 3 Not present (go to question 14)
[] 3 Outside of the home
A) Does the home have sanitation services...?
[] 2 Shared by several homes
[] 3 Not present (go to question 15)
[] 2 Latrine
[] 3 Outhouse or septic tank
[] 3 Outside of the home
15. What source of energy do you use for lighting the home?
[] 1 Union Electrica [electric company]
[] 2 Industrial plant
[] 3 Kerosene
[] 4 Mini hydroelectric
[] 5 Solar panel
[] 6 Biogas
[] 7 Own plant
[] 8 Other
16. For each of the following items, state how many are owned and how many are functional.
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
____ Working
[next page]
Section IV. Personal data
[Applies to questions 1-23]
[Original questionnaire includes multiple copies of questions for all household members in page 2-4, and only one copy of questions in page 4 is shown here.]
2. What type of relationship do you have with the head of household?
[] 1 Spouse or partner
[] 2 Child
[] 3 Stepchild
[] 4 Son or daughter-in-law
[] 5 Grandchild
[] 6 Parents or in-laws
[] 7 Other relative
[] 8 Other non-relative
[] 9 Member of the collective (go to question 4)
3. What number appears on your mother's, father's and spouse's questionnaire?
_ _ Child of (mother)
_ _ Child of (father)
_ _ Spouse of
[] 1 Male
[] 3 Female
5. What is your date of birth and age (in full years)?
Month _ _
Year _ _ _ _
Age _ _ _
[] 1 White
[] 2 Black
[] 3 Mestizo or mulatto
7. Where did your mother live when you were born?
[] 3 In another place, settlement, or country (go to question 7B)
[] 9 Unknown (go to question 8A)
Municipality _ _
Province _ _
Country _ _ _
8A) Have you always lived in this place or settlement?
[] 3 No (go to question 8B)
8B) In which place or settlement, municipality, province and country did you reside before moving here?
Municipality _ _
Province _ _
Country _ _ _
9. How long have you lived here since moving from the previous place of residence?
[] 99 Unknown
10. Do you suffer from any of the following?
[] 02 Hearing loss (hypoacusis)
[] 03 Deafness
[] 04 Blindness
[] 05 Impaired vision
[] 06 Physical or motor limitation
[] 07 Chronic mental illness
[] 08 Mental retardation
[] 09 Chronic kidney failure
[] 10 None of the above
For people over 6 years of age
(End of interview for persons under this age.)
[Questions 11-15 were asked persons over 6 years old]
11. What is the highest grade or level of education passed?
[] 1 Elementary (1 to 6) _
[] 2 Basic secondary (7 to 10) _
[] 3 Qualified worker (1 to 5) _
[] 4 Pre-university (10 to 13) _
[] 5 Intermediate technical (1 to 5) _
[] 6 Intermediate pedagogy (1 to 5) _
[] 7 Higher education or university (1 to 7) _
12. What is the highest level of education you finished completely?
[] 0 None (go to question 15)
[] 1 Elementary
[] 2 Basic secondary
[] 3 Qualified worker
[] 4 Pre-university
[] 5 Intermediate technical
[] 6 Intermediate pedagogy
[] 7 Higher education or university
13. What is the highest degree or title you have achieved? ____
According to CE classifications _ _
14. [Postgraduate academic degree]
[Question 14 was asked of persons whose highest level of education is higher education or university]
A) Do you have any postgraduate academic degrees?
[] 3 No: go to question 15
[] 2 Master
[] 3 Doctorate
15. Do you know how to read and write?
[] 1 Yes
[] 3 No
For persons 12 years and older
(End of interview for persons under this age.)
[Question 16 was asked of persons age 12 and older.]
16. What is your civil and/or marital status?
[] 1 Married
[] 2 In a civil union
[] 3 Divorced
[] 4 Separated
[] 5 Widowed
[] 6 Single
For persons 15 years and older
(End of interview for persons under this age.)
[Questions 17-23 were asked of persons age 15 and older.]
17. What did you do the week before September 14th?
[] 01 Worked
[] 02 Employed but did not work
[] 03 Looked for work due to loss of job
[] 04 Looked for a job for the first time
[] 05 Retired or pensioned due to age
[] 06 Other pensioners
[] 07 Landlord or received economic assistance
[] 08 Household chores
[] 09 Student
[] 10 Disabled for work purposes
[] 11 Did not perform any activity
[] 12 In hospital or asylum
[] 13 Other situation
18. What is your primary occupation or trade that you perform in this job? ____
According to CNUO classifications _ _ _
19A) What was the name of the workplace where you worked in that week? ____
19B) Which work is primarily performed in said workplace? ____
According to NAE classifications (catalogue of economic activities) _ _
20. In your main occupation, were you employed by...?
[] 02 Cuban commercial societies
[] 03 A mixed partnership
[] 04 A foreign company
[] 05 Self-employed
[] 06 UBPC (basic cooperative production unit)
[] 07 CPA (agricultural production cooperative)
[] 08 In other cooperatives
[] 09 Small farmer, associated or not with CCS (credit and service cooperative)
[] 10 Beneficial owner of the land associated or not associated with CCS
[] 11 Permanently or temporarily contracted in agricultural activities
[] 12 Privately contracted (non-agricultural) and in homes
[] 13 Unpaid family helper
21. In which municipality do you work...?
[] 3 In another municipality or province (If 3, indicate the municipality or province below)
_ _ Province
22. Do you have a secondary occupation?
[] 1 Yes
[] 3 No (end of the interview)
23. What is your occupation or job in your secondary activity?
According to CNUO classifications _ _ _
Name and surnames of enumerator ____
Enumeration date
____ Month
Primary review
____ Area Office
[next page]
List of permanent residents in the housing unit, by household
Please tell me the names of the people who live in the census household, starting with the head of household, followed by the spouse or partner, children, stepchildren, sons- and daughters-in-law, parents or in-laws, other relatives, or other non-relatives.
Remember to start with the primary census household and then continue with the rest.
____ Household number
____ Person number
____ Name(s) and surnames
____ Relationship