The First National Population Census of the Kyrgyz Republic of 1999

Questionnaire No. 1
Approved by Resolution of Natstaatcom of the Kyrgyz Republic of November 3, 1988, No. 79

Dear Enumerators

The Population Census of the Kygyz Republic is conducted in accordance with the Decree of the President of the Kyrgyz Republic of July 17, 1995, No. UP-176 and the Law of the Kyrgz-Republic On the Population Census of May 14, 1998, No. 63 in accordance with the above legal acts branches of National statistics are authorized to receive answers and interviewees may not refuse to provide the answers to questions in the questionnaire.

[The rest of the section is omitted.]

National Statistical Committee of the Kyrgyz Republic

____ No. of census area
____ No. of supervisory area
____ No. of enumeration district
____ No. of the list of dwellers

The number of people on the list ____
Resident households ____

The List of Dwellers and their Housing Conditions
____ No
____ Oblast
____ Urban settlement
____ Rayon (rural)
____ Urban rayon
____ Aiyl-kenesh
____ Name or number of urban micro-rayon, residential area (agglomerations of new houses)
____ Name of rural settlement
____ Avenue, street
____ No. of house
____ No. of flat
____ Name of owner
____ Establishment

I. The list of dwellers

1. No. within a premise _____
2. No. within a household _____
3. Last name, first name, patronymic _____

Questions 4-5 for persons living permanently in the dwelling, but temporarily absent

4. Reason of absence ____
5. Period of absence (indicate months or days) ____

Questions 6-7 for persons living temporarily in dwelling

6. Permanent address ____
7. Period of absence in permanent residence place (indicate months or days) ____

I. Housing conditions of permanently living population

Encircle one or several codes

1 and 2 for premises

1p. Type of dwelling

[] 1 Individual house
[] 2 Part of individual house
[] 3 Separate flat
[] 4 Common (communal) flat
[] 5 Hostel
[] 6 Home for the old and disabled, children's home etc.
[] 7 Other institutional establishments
[] 8 Hotel
[] 9 Other residential premise
[] 10 Non-residential premise used for living

2p. Facilities

[] 01 Electricity
[] 02 Electric stove
[] 03 Network gas
[] 04 Liquefied gas (bottled)
[] 05 Heating from heating plants, rayon boiler houses
[] 06 Heating from boilers
[] 07 Heating from individual stoves
[] 08 Running water
[] 09 Sewage
[] 10 Bath or shower
[] 11 Central hot water supply
[] 12 Hot water supply from individual water-boilers
[] 13 No facilities

No. of the first member of a household within a premise (from group 1 of the list) ____

3-7 for households permanently living in a premise

3p. Those who do not own a premise please indicate: Who is the owner of a residential premise?

[] 1 Individuals
[] 2 State
[] 3 Communal
[] 4 Other type of ownership
[] 5 Rent a premise from other individuals
[] 6 Homeless

4p. Houses and flats occupied by household ____

5p. The number of occupied living rooms _ _

[] 99 part of room

6p. Size of area of an occupied premise (m2)

a) Surface_ _ _
b) Residential _ _ _

7p. Telephone

[] 1 Yes
[] 2 No

Form 2
Approved by the provision of Natstatcom of the Kyrgyz Republic on November 3, 1998 No. 79

Total Population

1. Relationship to the person enumerated first in a household

[] 01 Person enumerated first
[] 02Wife, husband
[] 03 Daughter, son
[] 04 Mother, father
[] 05 Sister, brother
[] 06 Mother-in-law, father-in-law
[] 07 Daughter-in -law, son-in-law
[] 08 Grandmother, grandfather
[] 09 Granddaughter, grandson, great-granddaughter, great-grandson
[] 10 Other type of relationship
[] 11 Non-relative

Number of mother (or father) __

2. Sex

[] 1 Male
[] 2 Female

3. Temporarily

[] 1 Absent
[] 2 Residing

4. Date of birth

Day _ _
Month _ _
Year 1 _ _ _
Age _ _ _

5. Nationality ____ _ _ _

6. Language (specify your mother tongue) ____ _ _ _
Other fluently spoken languages

1. ____ _ _ _
2. ____ _ _ _

7. Place of birth

(Name of town, rayon, country) ____ _ _ _

8. Citizenship

[] 1 Kyrgyz Republic
[] 2 Without citizenship
Citizen of another country (specify country) ____ _ _ _

9. Residing temporarily from birth in that populated area

[] 1 Yes (skip to question 10)
[] 2 No

If no, specify
a) The year you have been temporarily residing here 1 _ _ _
b) Place of previous residence (name of town, rayon, country) ____ _ _ _ _
c) From what populated area have you moved from?

[] 3 From urban
[] 4 From rural

d) Are you a refugee?

[] 5 Yes
[] 6 No

Persons aged 15 years and over
[Question 10 was asked of persons aged 15 years and over.]

10. Marital status

[] 1 Never married
[] 2 Registered married
[] 3 Not registered married
[] 4 Widowed
[] 5 Divorced
[] 6 Separated

Number of a wife (husband) __

Persons aged 6 years and over
[Questions 11 to 12 were asked of persons aged 6 years and over.]

11. Education

[] 1 Higher
[] 2 Incomplete higher
[] 3 Secondary specialized
[] 4 Secondary general
[] 5 Primary general
[] 6 Elementary general
[] 7 Without elementary general
[] 8 Illiterate
[] 9 Have graduated from vocational school

Persons with scientific degree, specify

[] 10 Candidate of sciences
[] 11 Doctor of sciences

Educational qualification specified in diploma (codes 1, 2, 3) ____ _ _ _ _

12. Type of educational institution you are attending

[] 1 Higher educational institution
[] 2 Secondary specialized educational institution
[] 3 Vocational training school
[] 4 General educational institution of all types
[] 5 Other school (courses)
[] 6 Not attending

Persons of preschool age
[Question 13 was asked of persons of preschool age.]

13. Are attending preschool institution?

[] 1 Yes
[] 2 No

Economic characteristics

14. Sources of livelihood (persons with more than one source, specify each source)

Work for hire: (by labor agreement contract, verbal agreement)

[] 01 At enterprises, organization, institution
[] 02 In a farm
[] 03 For individuals (including rendering household services)

Work not for hire

[] 04 Owners of enterprises, farms (employer)
[] 05 On an individual basis
[] 06 At family enterprises, unpaid at farms
[] 07 Personal subsidiary plots
[] 08 Scholarship (stipend)
[] 09 Pension
[] 10 Benefits and allowances (excluding unemployment benefits)
[] 11 Unemployment benefits
[] 12 Other type of state maintenance
[] 13 Income from property
[] 14 On dependence
[] 15 Other sources

From above listed, specify the main source of livelihood ____

15. Population employment

a) Name and activity type of an enterprise you are working in or specify the type of work you do ________ _ _ _
b) Place of work (name of town, rayon, country) ____ _ _ _

16. Main activity (detailed title of position, profession or performed work) ________ _ _ _ _

For unemployed persons aged 16 and over.
[Question 17 was asked of unemployed persons aged 16 and over.]

17. Are you looking for a job?

[] 1 Yes, I am (skip to question 18)
[] 2 No, I am not

If "no" specify the reason

[] 3 Job is found, within 2 weeks will start working
[] 4 Applied for a job and waiting
[] 5 My qualification, working experience, age do not meet requirement of employers
[] 6 Illness, disability
[] 7 Care for sick relative, children, housework
[] 8 No need to work
[] 9 Other reasons

18. Women aged 15 years and over, specify

[Questions 18 was asked of women aged 15 years and over.]

a) How many children have you borne? _ _
b) How many children are alive? _ _
c) How many of them live separately? _ _
d) [] 99 No answer

Office use only
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