Ministry of Economy
General Statistic Department

Republic of Guatemala
National Censuses
IV of Housing and IX of Population
March 1981

Office use [blank box]
Form number ____ of ____

I. Geographic location

1. Cartographic code:

___ Department
___ Municipality
___ Section
___ Sector

[Name of]
___ 2. Department
___ 3. Municipality
___ 4. Name of locality

Office use [blank box]

____ 5. Address of the place of habitation

6. Type of populated area:

[] 1 City
[] 2 Villa
[] 3 Town
[] 4 Village
[] 5 Hamlet
[] 6 Station (paraje)
[] 7 Farm

II. Characteristics of the place of habitation

1. Dwelling type

[] 1 Regular house (formal)
[] 2 Apartment
[] 3 Room in a tenement (palomar)
[] 4 Shack or other rustic housing (rancho)
[] 5 Improvised house (covacha, barraca)
[] 6 Other type
[] 7 Collective: (Specify: hotel, house with more than 5 guests, hospital, barracks, prison, etc.) ____

Name of the establishment ____

2. Predominant material in the walls

[] 1 Brick and/or concrete block
[] 2 Adobe
[] 3 Wood
[] 4 Metal sheet
[] 5 Cane and mud cane (bajareque)
[] 6 Lepa, sticks or cane
[] 7 Other (specify) ____

3. Predominant material in the roof

[] 1 Concrete
[] 2 Metal sheet
[] 3 Asbestos cement
[] 4 Tile
[] 5 Straw, palm or similar
[] 6 Other (specify) ____

4. Predominant material in the floor

[] 1 Cement brick
[] 2 Clay brick
[] 3 Unfinished poured concrete (torta de cemento)
[] 4 Wood
[] 5 Dirt
[] 6 Other

5. Occupancy

a. Occupied:

[] 1 With people present
[] 2 With people absent

b. Vacant:

[] 3 For sale
[] 4 For rent
[] 5 Under repair
[] 6 For other reason

If vacant, go on to another place.
[If the local is vacant, enumerator should go to the next place of habitation]

6. Year of construction

In what year was the place of habitation built?

Before the 1976 earthquake:

[] 1 Before 1973
[] 2 From 1973 to 1976

After the 1976 earthquake:

[] 3 From 1976 to 1977
[] 4 From 1978 to 1979
[] 5 From 1980 to 1981

[] 9 Unknown

7. Facilities in the place of habitation

a. Water:

Is the place of habitation connected to a water supply system?

[] 1 Yes
[] 2 No

b. Drainage:

Is the place of habitation connected to a wastewater capture system?

[] 1 Yes
[] 2 No

c. Electric lighting:

Is the place of habitation connected to an electrical distribution system?

[] 1 Yes
[] 2 No

8. Total number of rooms ____

(Do not include the kitchen, bathroom, nor those used exclusively for commercial or professional purposes)

9. Number of households living in the place of habitation____

III. Living situation of household number

Household number ____

1. Water supply

What type of water supply is available to the household?

[] 1 Running water for exclusive use
[] 2 Running water for various households
[] 3 Public tap (outside the habitation)
[] 4 Well
[] 5 River, lake or spring
[] 6 Other

2. Toilet facilities

What type of toilet facilities are available to the household?

[] Toilet connected to wastewater system:

[] 1 For exclusive use
[] 2 For various households

[] Toilet connected to a septic tank

[] 3 For exclusive use
[] 4 For various households

[] 5 Toilet connected to a drain but not to a water supply
[] 6 Pit toilet or latrine
[] 7 None

3. Lighting service

What type of lighting does the household have?

[] 1 Electricity from the public utility
[] 2 Electricity from a private utility
[] 3 Gas (kerosene), gasoline
[] 4 Candle
[] 5 Other

4. Number of rooms

a. What is the total number of rooms in this household? (Do not include the kitchen, bathroom, nor those used exclusively for commercial or professional purposes)

____ Total rooms

b. Of these, how many are used as bedrooms?

____ Total bedrooms

5. Kitchen

Does the household have a room designated solely for cooking?

[] 1 For exclusive use by the household
[] 2 For the use of various households
[] 3 Doesn't have

6. Fuel used for cooking

What type of fuel is habitually used for cooking?

[] 1 Electricity
[] 2 Propane gas
[] 3 Common gas
[] 4 Charcoal
[] 5 Wood
[] 6 No cooking

7. Ownership system

Under what ownership system does this household occupy the place of habitation?

[] 1 Completely paid
[] 2 Paying in installments

____ Quetzales [Guatemalan currency] (monthly amount)

[] 3 Rented

____ Quetzales (monthly amount)

[] 4 Ceded
[] 5 Other

8. Household appliances

Does the household have any of the following appliances? (Circle one or several as the case may be.)

[] 1 Radio
[] 2 Television
[] 3 Refrigerator
[] 4 Sewing machine
[] 5 Telephone
[] 6 Automobile
[] 7 None of the above

IV. Social characteristics of the members of the household
[For all persons]

Do the members of this household, or the majority of them, habitually:

a. Speak an indigenous language?

[] 1 Yes

____ (specify)

[] 2 No

b. Use traditional indigenous outfit?

[] 1 Yes
[] 2 No

c. Use:

[] 1 Shoes
[] 2 Caites
[] 3 None

V. Family or home-based industry

a. Are any articles produced for sale in this household? (Do not include agricultural products)

[] 1 Yes
[] 2 No

b. What is the name of the principal article and the material used?

____ Article
____ Material

c. How many people habitually work on the production of this article? ____

VI. Present and resident population
[For all persons]

a. How many people slept in this household the night of Sunday, March 22nd, 1981?

____ Total
____ Males
____ Females

b. How many people habitually resided in this household on March 22nd, 1981?

____ Total
____ Males
____ Females

c. How many of these people were in another municipality or another country the night of Sunday, March 22nd, 1981?

____ Total

Comments: [4 blank lines]

____ Enumerator's signature

VII. People in the census household

[The following sections consist of a table with columns]

[Table headings:]
Number
Questions
First person
Second person
Third person

For all individuals
[Questions 1 - 8 were asked for all persons]

1. Name and last names____

What are the name and surname of each of the people who habitually resided in this his household on March 22nd, 1981?

2. Relationship to head

What is your relationship to the head of the household?

(First person)

[] 0 Head
[] 10 Collective

[] 1 Wife or partner
[] 2 Child or stepchild
[] 3 Son -or daughter- in law
[] 4 Grandchild
[] 5 Parent or parent-in-law
[] 6 Other relative
[] 7 Domestic employee
[] 8 Other non-relative
[] 9 Unknown
[] 10 Collective

3. Sex

Are you male or female?

[] 1 Male
[] 2 Female

4. Age

How old are you in years completed?

____ Years old (Under one year write 00)

5. Current marital status

Are you married, living together, single, widowed, and divorced or separated?

[] 1 Married
[] 2 Living together
[] 3 Single
[] 4 Widowed
[] 5 Divorced or separated
[] 9 Unknown

6. Maternal orphanhood

Is your mother alive?
(If alive and living in the household, write the order number she has on the form)

[] 1 Yes

____ Order number on the form

[] 2 No
[] 9 Unknown

7. Ethnic group

Are you indigenous?

[] 1 Yes
[] 2 No
[] 9 Unknown

8. Disability

Do you have any physical or mental impediment, from birth or other cause?

(Circle one or more numbers as the case may be.)

[] 1 No disability
[] 2 Blind
[] 3 Deaf-mute
[] 4 Paralyzed
[] 5 Amputee
[] 6 Mentally retarded
[] 7 Other (specify) ____

For all individuals
[Questions 9, 10 and 12 were asked for all persons]

9. Place of birth
In what municipality and department were you born?

[] 1 Here
[] [If born in this country write the name of the municipality and department]

____ Municipality
____ Department or country

[] If born abroad, write the country and ask: In what year did you come to live permanently in this country?

Year of arrival in the country 19 _ _
[Name of the country] ____

10. Period of residence

How long have you lived in this municipality?

[] 1 Always

_ _ _ _ Number of years

11. Habitual residence in February 1976

[Question 11 is asked for persons 5 years or older]

In what municipality and department or country did you live during the earthquake of February 1976? (Only for those 5 years of age and older)

[] 1 Here
[] [If lived in this country during the earthquake of February 1976, write the name of the municipality and department]

____ Municipality
____ Department or country

[] [If lived outside this country during the earthquake of February 1976, write the name of the country]

[Name of the country] ____

12. Prior habitual residence

In what municipality and department or country did you habitually reside before establishing yourself in this municipality?

[] Here
[] [If habitually reside in this country, write the name of the municipality and department]

____ Municipality
____ Department or country

[] [If habitually reside outside this country, write the name of the country where habitually resided]

[Name of the country] ____

For those 7 years of age and older
[Questions 13 - 15 were asked for persons age 7+ old]

13. Literacy

Are you able to read and write?

[] 1Yes
[] 2 No
[] 9 Unknown

14. Educational level

What was the last grade or year of studies completed in primary, secondary or higher education?

[] 00 None
[] 1 Elementary _ _ _
[] 2 Secondary _ _ _
[] 3 Higher _ _ _
[] 99 Unknown

15. School attendance

Do you currently attend an institution of elementary, secondary or higher education? (For those individuals ages 7 to 14 who are not attending, ask the reason.)

[] 1 Yes
[] 2 No

(Reason for not attending) ____

[] 9 Unknown

For those 10 years of age and older
[Questions 16 was asked for persons age 10+ old]

16. Type of activity

What did you do during the week prior to the census date, that is, from the 16th to the 22nd of March, 1981?

[] 1 Worked
[] 2 Did not work but had a job
[] 3 Looked for work and had worked before
[] 4 Looked for work for the first time
[] 5 Lived from investments or retirement income
[] 6 Studied
[] 7 Household duties
[] 8 Other
[] 9 Unknown

Only for those who answered 1, 2, or 3 in question 16
[Questions 17 - 20 are asked for persons who responded 1, 2, or 3 in question 16]

17. Principal occupation

What principal occupation, type of work or position did you have during the reference week, or in the last job you had? ____

18. Branch of activity

What does the establishment where you have (had) the principal occupation indicated above do?

Activity ____

19. Establishment location

In what municipality and department is the establishment where you have [or had] the principal occupation indicated above located?

[] 1 Here

____ Municipality
____ Department

20. Occupational category

What category [position] did you have in the principal occupation indicated above?

[] 1 Employer
[] 2 Self-employed
[] 3 Public sector employee
[] 4 Private sector paid employee
[] 5 Unpaid family worker
[] 9 Unknown

Only for women 15 years of age and older
[Questions 21 - 24 were asked of women age 15+ old]

21. Total children born alive

How many children born alive have you had in total?

[] 00 None
[] [If any write the total number]

_ _ Total
_ _ Males
_ _ Females

[] 99 Unknown

22. Total children surviving

How many of these are currently alive?

[] 00 None
[] [If any write the total number]

_ _ Total
_ _ Males
_ _ Females

[] 99 Unknown

23. Date of birth of last child

What was the date of birth of your last child born alive, even if he/she later died?

[] 0 Has not had children
[] [If any child born alive, write date of birth]

_ _ Day
_ _ Month
_ _Year

[] 9 Unknown

24. Survival of the last child

Is your last child born alive still living?

[] 0 Has not had children
[] [If any child born alive]

[] 1 Yes
[] 2 No

[] 9 Unknown

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