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Republic of Indonesia
Central Bureau of Statistics
1980 Census of Population

I. Location Identification


1. Province ____
2. Regency / municipality ____
3. Sub-regency / sub-district ____
4. Island ____
5 Village ____

6. Area
[] Rural
[] Urban



7. Enumeration area no. ____
8. C.B. no. ____


9. Sample code ____
10. Physical building no. ____
11. Census building no. ____
12. Household serial no. ____

13. Household
[] Private
[] Institutional

14. Number of household members ____

II. Enumeration particulars

1. Name of enumerator ____
2. Date of enumeration ____
3. Enumerator's signature ____
4. Name of supervisor ____
5. Date of supervision ____
6. Supervisor's signature ____

Household information

IV. Living quarter


1. Type of physical building

1 Independent building with single dwelling unit

[] 1 Multistory
[] 2 Single story

2 Independent building with two dwelling units

[] 1 Multistory
[] 2 Single story

[] 3 Independent building with more than two dwelling units



2. Number of census buildings in this physical building

Census buildings _



3. Number of households in this census building

Households _ _



4. Status of ownership

[] 1 Self-owned
[] 2 Rent (contract/long term basis)
[] 3 Rent (monthly basis)
[] 4 Installment purchase
[] 5 Provided by employer
[] 6 Other



5. Primary construction material of roof

[] 1 Concrete
[] 2 Wood
[] 3 Corrugated zinc/asbestos
[] 4 Tile
[] 5 Sugar palm fiber
[] 6 Leaves
[] 7 Other



6. Primary construction material of wall

[] 1 Brick
[] 2 Wood
[] 3 Bamboo
[] 4 Other



7. Primary construction material of floor

[] 1 Tile
[] 2 Concrete/brick
[] 3 Wood
[] 4 Bamboo
[] 5 Earth
[] 6 Other



8. Floor area

____ square meters



9. Type of lighting

[] 1 Electric
[] 2 Pumped lamp
[] 3 Kerosene lamp
[] 4 Other



10. Type of cooking fuel

[] 1 Electric
[] 2 Gas
[] 3 Kerosene
[] 4 Wood
[] 5 Charcoal
[] 6 Other



11. Source of drinking water

[] 1 Pipe
[] 2 Pump
[] 3 Well
[] 4 Spring
[] 5 River
[] 6 Rain
[] 7 Other



12. Source of water for bathing/washing

[] 1 Pipe
[] 2 Pump
[] 3 Well
[] 4 Spring
[] 5 River
[] 6 Rain
[] 7 Other



13. Bathing facility

[] 1 Private
[] 2 Shared/private
[] 3 Public
[] 4 Other



14. Toilet facility

[] 1 Private, with septic tank
[] 2 Private, without septic tank
[] 3 Shared/public/other



15. Does this household own:

a. Buffet (side board)?
[] 1 Yes
[] 2 No


b. Stove?
[] 1 Yes
[] 2 No


c. Bicycle?
[] 1 Yes
[] 2 No


d. Radio/cassette recorder?
[] 1 Yes
[] 2 No


e. T.V. set?
[] 1 Yes
[] 2 No


V. Agricultural land tenure


16. Self-owned
____ Ha


17. Obtained from others
____ Ha


18. Operated by others
____ Ha


19. Total (Q16 + Q17 + Q18)
____ Ha



VI. Livestock/poultry raised by household


20. Dairy cow

_ _ _ unit


21. Cow

_ _ _ unit


22. Buffalo

_ _ _ unit


23. Horse

_ _ _ unit


24. Goat/sheep

_ _ _ unit


25. Pig

_ _ _ unit


26. Chicken (imported variety)

_ _ _ unit


27. Chicken (local variety)

_ _ _ unit


28. Duck

_ _ _ unit


All persons
VII. Characteristics of individual household members


1. Relationship to head of household

[] 1 Head of household
[] 2 Wife
[] 3 Son or daughter
[] 4 Son or daughter-in-law
[] 5 Grandchild
[] 6 Parent or parent-in-law
[] 7 Other relative
[] 8 Servant
[] 9 Other



2. Sex

[] 1 Male
[] 2 Female



3. Own mother living in this household?

[] 1 Yes

[Question 4 was asked only of those persons who responded "Yes" in question 3.]
4. Serial number _ _

[] 2 No (go to question 5)



5. Age

_ _ years



6. Month and year of birth known?

[] 1 Yes
[] 2 No (go to question 8)



7. Month and year of birth

[Question 7 was asked of persons who know their month and year of birth, per question 6.]

Month ____
Year 19 _ _



8. Marital status

[] 1 Single (not yet married)
[] 2 Married
[] 3 Widowed
[] 4 Divorced



9. Religion

[] 1 Muslim
[] 2 Protestant/other Christian
[] 3 Catholic
[] 4 Hindu
[] 5 Buddhist
[] 6 Other



10. Citizenship

[] 1 Indonesian
[] 2 Chinese (People's Republic of China, Taiwan, Stateless)
[] 3 Other foreigner



11. Place of birth

Province ____



12. Duration of residence in present province

Years _ _



13. Place of previous residence

Province ____



14. Place of residence 5 years ago

Province ____



15. Have you felt unwell during the past week?

[] 1 Yes
[] 2 No (go to question 17)



16. Medical service used

[Question 16 was asked of persons who felt unwell during the past week, per question 15.]

[] 1 General practitioner
[] 2 Hospital
[] 3 Public Health Center
[] 4 Polyclinic
[] 5 Health service extension worker
[] 6 Traditional doctor
[] 7 Self treated
[] 8 Not treated



17. Handicapped?

[] 1 Yes
[] 2 No (go to question 19)



18. Type of handicap

[Question 18 was asked of persons who are handicapped, per question 17.]

[] 1 Blind
[] 2 Deaf/mute
[] 4 Physical
[] 8 Mental



19. School attendance

[] 1 Does not attend school or has not started school (go to question 24)
[] 2 Attending school
[] 3 Previously attended, but does not attend school anymore



20. Type of highest school attended or currently attending

[Question 20 was asked of persons who have ever attended school, per question 19.]

[] 1 Kindergarten
[] 2 Primary school (3 years)
[] 3 Primary school (6 years)
[] 4 General JHS
[] 5 General SHS
[] 6 Vocational JHS
[] 7 Vocational SHS
[] 8 Academy
[] 9 University



21. Highest grade attended/attending

[Question 21 was asked of persons who have ever attended school, as per question 19.]

[] 0
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8 (completed)



22. Highest level of education completed

[Question 22 was asked of persons who have ever attended school, as per question 19.]

[] 1 Not completed primary school (go to question 24)
[] 2 Primary school (go to question 24)
[] 3 General JHS (go to question 24)
[] 4 General SHS (go to question 24)
[] 5 Vocational JHS
[] 6 Vocational SHS
[] 7 Academy
[] 8 University



23. Field of study

[Question 23 was asked of persons who have ever attended vocational school, academy or university, as per questions 19 and 22.]

(Specify) ____



24. Language used at home

[] 1 Indonesian (go to question 26)
[] 2 Local language (specify) ____
[] 3 Foreign language



25. Able to speak Indonesian?

[Question 25 was asked of persons who do not speak Indonesian at home, per question 24.]

[] 1 Yes
[] 2 No



26. Able to read and write?

[] 1 Latin alphabet
[] 2 Other alphabet
[] 3 Unable



Persons 10 years or older
VIII. Activities of persons aged 10 years or older
[Questions 27-42.]


27. Primary activity during the previous week

[] 1 Working (go to question 31)
[] 2 Attending school
[] 3 Housekeeping
[] 4 Other



28. In addition to 2, 3, or 4 [answer choices in the previous question], also worked for at least one hour during the previous week?

[Question 28 was asked of persons who did not work last week [chose any option other than 1 Working], as per question 27.]

[] 1 Yes (go to question 31)
[] 2 No



29. Holds a job but was absent during the previous week?

[Question 29 was asked of persons who did not work for even one hour last week, per questions 27 and 28.]

[] 1 Yes (go to question 31)
[] 2 No



30. Have you ever worked?

[Question 30 was asked of persons who did not work for even one hour last week and were not among those who were absent from their job, as per questions 27, 28 and 29.]

[] 1 Yes (go to question 39)
[] 2 No (go to question 39)



[Questions 31-37 were asked of persons who worked for at least one hour last week or had a job to go to, as per questions 27, 28 and 29.]


31. Number of days worked during the previous week

____ days



32. Number of hours worked during the previous week

____ hours



33. Number of hours worked in primary activity during the previous week

____ hours



34. Specify your primary occupation during the previous week

____



35. Type of industry in which primary activity of the previous week was carried out

________



36. Employment status in primary activity during the previous week

[] 1 Self-employed
[] 2 Self-employed assisted by family member/temporary help
[] 3 Employer
[] 4 Employee
[] 5 Family worker



37. Did you have an additional job during the previous week?

[] 1 Yes
[] 2 No (go to question 39)



38. Type of industry of additional job during the previous week

[Question 38 was asked of persons age 10 or older who had an additional job last week, as per questions 27, 28, 29 and 37.]

[] 1 Agriculture
[] 2 Mining or quarrying
[] 3 Manufacturing
[] 4 Electricity, gas and water
[] 5 Construction
[] 6 Trade
[] 7 Transportation and communication
[] 8 Finance
[] 9 Services
[] 10 Other



39. Did you look for work during the previous week?

[] 1 Yes (go to question 41)
[] 2 No



40. Primary reason for not seeking for work during the previous week

[Question 40 was asked of persons who did not look for work during the previous week.]

[] 1 Did not need work
[] 2 Waiting for the outcome of an application
[] 3 Gave up trying
[] 4 Attending school
[] 5 Housekeeping
[] 6 Not able to work
[] 7 Other



41. Did you work during the previous year?

[] 1 Yes
[] 2 No (go to section IX)



42. In what type of industry did you work during the previous year?

[Question 42 was asked of persons age 10 or older who worked during the previous year, per question 41.]

(Specify) ____



IX. Ever married women
[Questions 43-49.]


43. Month and year of first marriage

Month _ _
Year 19 _ _



44. Age at first marriage

_ _ years



45. Number of marriages

_ times



46. Number of living children

a. Total

_ _ children


b. Living at home

_ _ children


c. Living away

_ _ children



47. Number of dead children

_ _ children



48. Month and year of birth of last child

Month ____
Year 19 _ _



49. Is your last child still alive?

1 Yes
2 No



X. Currently married women younger than 50
[Questions 50-51.]


50. Contraceptive methods (ever used)

[] 1 Pill
[] 2 I. U. D.
[] 4 Condom
[] 0 Other
[] 8 Never used



51. Contraceptive method(s) currently being used

[] 1 Pill
[] 2 I. U. D.
[] 4 Condom
[] 0 Other
[] 8 Not using