Morocco 1982 Enumeration Form
[WARNING: there are 8 types of forms, depending on urban/rural residence, nomadic households, institutions, and hotels. Numbering of similar questions may vary across forms]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
HOUSEHOLD AND DWELLING QUESTIONNAIRE
URBAN AREAS
(Form in French)
Visa No: 1-2-82-1 / Direction de la Statistique
[Page 1]
1. Province or préfecture
2. Cercle
3. Municipality or centre autonome or commune rurale 3. Centre
4. Fraction
5. Douar
6. Census track [district de recensement]
7. Dwelling unit number [numéro du logement]
8. Number of households in the dwelling unit
9. Household number [numéro du ménage]
10. Number of questionnaires filled for this household
11. Does the household head have a vital registration booklet?
12. If yes, year of issue of this booklet
13. Number of resident household members (not counting the visitors)
Foreigner __
Total __
14. Precise address of the dwelling unit
15. Name of the census enumerator
16. Name of the respondent
17. Date of interview
18. Name of the supervisor
19. Date of the supervision
in the field _____
20. Signature of the supervisor
21. Observations
[Page 2]
Housing characteristics
Information on the dwelling unit, or part of the housing unit occupied by the household
24. Mode of occupancy of the dwelling unit
[] 2 Dwelling occupied by a household temporarily absent at time of the census
[] 3 Dwelling empty / vacant
[] 4 Secondary or seasonal dwelling
[] 5 Other
25. Type of construction
[] 1 Villa, or flat in a villa
[] 2 Apartment, flat
[] 3 Moroccan traditional house
[] 4 Room in an institution
[] 5 Construction not designed for housing
[] 6 Other cases
26. Wall material
[] 2 Stone, with dried earth
[] 3 Stone, without cement or earth
[] 4 Adobe
[] 5 Wood, iron sheets, branches, reeds
[] 6 Other material
26. Roof material
[] 2 Wood, branches, reeds, covered with earth
[] 3 Wood, branches, reeds, not covered with earth
[] 4 Iron sheets
[] 5 Wood planks and tiles
[] 6 Other material
27a. Kitchen
[] 1 Yes, private
[] 2 Yes, shared
27b. Toilet/WC inside the dwelling
[] 1 Yes, private
[] 2 Yes, shared
27c. Modern bathroom or shower inside the dwelling
[] 1 Yes, private
[] 2 Yes, shared
27d. Traditional Moroccan bathroom inside the dwelling
[] 1 Yes, private
[] 2 Yes, shared
27e. Is the dwelling connected to a public water supply network?
[] 1 Yes
27f. Water from a spring or from a well inside the dwelling?
[] 1 Yes, private
[] 2 Yes, shared
27g. Is the dwelling connected to a public network of electricity distribution, or supplied with an electric generator?
[] 1 Yes
28. Source of lighting (for households not supplied with electricity)
[] 2 Gas lamp (butane)
[] 3 Traditional lamp (kandyle)
[] 4 Candle
[] 5 Other cases
29. Tenancy status of the dwelling
[] 2 In process of becoming owner
[] 3 Tenant
[] 4 Under mortgage
[] 5 Housing provided by employer
[] 6 Free lodging
[] 7 Other cases
30. Number of rooms occupied by the household
[Page 3]
Q02: First name and last name ___________
(Copy the list of persons declared to be members of the household: resident present, and resident temporarily absent notified in the separate table household members: Table 1, according to the order specified in the instructions)
Q03: Relationship to the head of household
[] 2 Spouse of the household head
[] 3 Child (son or daughter)
[] 4 Parent (father or mother)
[] 5 In-law children (son or daughter in-law)
[] 6 Other relative
[] 7 Not related by blood
Q04: Residence status
[] 2 R.T.A. -- Resident temporarily absent
Q06: Date of birth or age
- Date of birth:
(Example: a persons declares being born on February 4, 1967, write down 4 February 1967, in write in the appropriate boxes: 0 2 / 1 9 6 7
YYYY in years _ _ _ _
- Age:
(Example: a persons declares being 47 years of age, write down 47 boxes: 4 7
(For children younger that 1 year of age, write "00")
Q07: Marital status
[] 2 Married
[] 3 Widowed
[] 4 Divorced
Q08: Nationality
[] 02 Algerian
[] 03 Tunisian
[] 40 French
[] 41 Spanish
Other nationality: specify, without coding ________________
Q09: Place of birth
For persons born in the place where they are enumerated, write "MRA = same as current residence."
_____________________
Q10: Place of previous residence
For persons who never moved from the place where they are enumerated, write "MRA = same as actual residence."
_____________________
[Page 4]
Q11: Duration of residence
For persons who never moved from the place where they are enumerated, write "MRA = same as actual residence".
_______________
Q12: Place of residence at the time of the Green March (November 6, 1975)
If the current place of residence is the same as that at the beginning of the Green March, write "MRA = same as actual residence."
______________________
Life time fertility
[For women who are married, widowed or divorced and age 50 or younger, specify the total number of live births]
Q13a: Number of children currently living in the household ______
Q13b: Number of children not currently living in the household (living elsewhere) _____
Q13c: Number of children who died _______
Fertility in the past 12 months
Q13d: Number of children still alive _______
Q13e: Number of children who died _______
[Questions 14-17 are for persons age 10 or older]
Q14: Literacy (knows to read and write)
[] 1 Arabic only
[] 2 Arabic and French only
[] 3 Arabic, French and other languages
[] 4 Arabic and languages other than French
[] 5 Other languages, specify _____________
Q15: Highest degree obtained
_________________________
Q16: Level of education
________________
Examples: Kindergarten; Preschool (maternelle); Koranic school; Primary school, third grade (CE2); Secondary school, eight grade (4-ème); Medical school, second year; etc.
Q17: Activity status
[] 1 CH -- Jobless, never worked
[] 2 CH2 -- Jobless, has worked before
[] 3 FF -- Housewife
[] 4 EC -- Student, pupil
[] 5 RET -- Retired, pensioned, or living on private means
[] 6 MAL -- Disabled, handicapped, sick person
[] 7 JEU -- Too young to work
[] 8 AUT -- Other cases
[Page 5]
During the period from the Aid el Fitr festival (July 23, 1982) to the reference date for the census:
[For housewives and other inactive persons (other than pupils and students) age 15 or older]
[Questions 18-19.]
Q18: Have you worked during this period?
[] No, write "00" and go to Q19 _ _
Q19: Why have you not worked during this period?
[] 2 Busy enough with house work
[] 3 Spouse or family opposes it
[] 4 Unable to work
[] 5 Does not want to work
[] 6 Other causes, specify _______
Q20: Main occupation
Example: bricklayer, plumber, cereal farmer, stockbreeder, etc.
________________________
Q21: Branch of economic activity (main activity of the company or the business building where you work)
______________________
Example: shoe factory, wool trade, sheep breeding, etc.
Q22: Employment status
[] 2 Self-employed, with premises
[] 3 Self-employed, at home
[] 4 Self-employed, traveling or without premises
[] 5 Salaried worker
[] 6 Family aid worker
[] 7 Apprentice
[Page 6]
Important notice
In order to have a complete snapshot view of the population and its characteristics, it is necessary to specify a precise reference date for the census. This is why this page should be filled in first (Table 1 and Table 2) in order to identify the household members according to the definition adopted for the census (see the instructions).
The list of persons written in Table 1 will then be copied in Column 2 of the household and dwelling sheet, in the order specified in the instructions for the relationships to the household head.
Table 1: Persons resident (present or temporarily absent) at the census reference date.
C01: Last name and first name
Do not forget to enumerate babies, young children, elderly, persons who are not related by blood to the household head, and persons resident in the household who are temporarily absent.
C02: Relationship with the household head
[] Spouse of the household head
[] Child (son or daughter)
[] Parents (father or mother)
[] In-law children (son/daughter-in-law)
[] Other relatives
[] Not related by blood
[] R.T.A. -- Resident temporarily absent
For each resident temporarily absent:
C05: Reason for being absent ______
Table 2: Persons visiting in the household (visitors)
C01: Line number
C02: Last name and first name of the persons who are visiting in the household
C03: Duration of presence
[Morocco 1982 Enumeration Form]
[Royaume du Maroc]
[Premier Ministre / Secrétariat d'Etat au Plan et au Développement Régional / Ministère de l'Intérieur]
[Recensement Général de la Population et de l'Habitat, 1982]
[Feuille de Population Comptée à part -- Milieu Urbain]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
FORM FOR POPULATIONS LIVING IN INSTITUTIONS
URBAN AREAS
(Bilingual Form in French and Arabic)
Visa No: ??.. / Direction de la Statistique
[Page 1]
1. Province or préfecture
2. Cercle
3. Municipality or centre autonome or commune rurale
4. Centre
5. Census track
6. Sub-district
8. Dwelling unit number in sub-district
9. Institution number in the district
10. Number of households living usually in the institution
11. Number of questionnaires filled for this institution
12. Name of the institution
13. Address of the institution
14. Name of the census enumerator
15. Name of the respondent
16. Date of interview
17. Name of the supervisor
18. Date of the supervisor
19. In the office
20. Signature of the supervisor
[Section 2] Type of institution
[] 2 Hospital
[] 3 Boarding house (private or public)
[] 4 Jail, prison
[] 5 Asylum, workhouse, retirement home
[] 6 Watched approved school
[] 7 Temporary camp for construction site, where workers live who do not have any other home
[Page 3]
Q03: Date of entry in the institution
Month _ _
Year _ _ _ _
_____________________
[] 2 Females
Age in years: _ _ _
For infants (persons younger than 1), write "00".
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 2 Algerian
[] 3 French
[] 4 Spanish
[] 6 Other nationality, specify ________________
Example: bricklayer, car mechanic, farmer of cereals, stockbreeder of cattle, etc.
Code (3-digits) _ _ _
Label _______________
[Morocco 1982 Enumeration Form]
[Royaume du Maroc]
[Premier Ministre / Secrétariat d'Etat au Plan et au Développement Régional / Ministère de l'Intérieur]
[Recensement Général de la Population et de l'Habitat, 1982]
[Feuille de Population de passage dans les hôtels et assimilés-- Milieu Urbain]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
FORM FOR POPULATIONS LIVING HOTELS AND SIMILAR PLACES
URBAN AREAS
(Bilingual Form in French and Arabic)
Visa No: ??.. / Direction de la Statistique
[Page 1]
1. Province or préfecture
2. Cercle
3. Municipality or centre autonome or commune rurale
4. Centre
5. Census track
6. Sub-district
8. Construction number in sub-district
9. Institution number in the district
10. Number of households resident usually in the institution
11. Number of questionnaires filled for this institution
12. Name of the institution
13. Address of the institution
14. Name of the census enumerator
15. Name of the respondent
16. Date of interview
17. Name of the supervisor
18. Date of the supervisor
19. In the office
20. Signature of the supervisor
[Section 2] Type of institution
[] 2 Classified hotel
[] 3 Holyday village
[] 4 Youth hostel
[] 5 Camping site
[] 6 Other cases, specify
[Page 3]
Q01: Line number
Q02: First name and last name
Q03: Date of entry in the institution
Day _ _
Month _ _
Year _ _ _ _
Q04: Place of usual residence
- Specify only the province where the person usually lives
Q05: Nationality
[] 01 Moroccan
[] 02 Algerian
[] 03 Arab, specify ______________
[] 30 French
[] 31 Spanish
[] 6 Other nationality, specify _____________
[Morocco 1982 Enumeration Form]
[Royaume du Maroc]
[Ministère du Plan de la Formation des cadres et de la Formation professionnelle / Ministère de l'Intérieur]
[Recensement Général de la Population et de l'Habitat, 1982]
[Feuille de ménage et de logement -- Milieu rural]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
HOUSEHOLD AND DWELLING QUESTIONNAIRE
RURAL AREAS
(Bilingual Form in French and Arabic)
Visa No: 1-2-82-1 / Direction de la Statistique
[Page 1]
1. Province or préfecture
2. Cercle
3. Municipality or centre autonome or commune rurale
3. Centre
4. Fraction
5. Douar
6. Census track
7. Dwelling unit number
8. Number of households in the dwelling unit
9. Household number in the dwelling
10. Number of questionnaires filled for this household
11. Does the household head have a vital registration booklet?
12. If yes, date of issue of this booklet
13. Number of resident household members (not counting the visitors)
Foreigner ________
Total ________
14. Precise address of the dwelling unit
15. Name of the census enumerator
16. Name of the respondent
17. Date of interview
18. Name of the supervisor
19. Date of the supervision
in the field _________
20. Signature of the supervisor
21. Observations
[Page 2] Section M
Housing characteristics
Information on the dwelling unit, or part of the housing unit occupied by the household
23. Mode of occupancy of the dwelling unit
[] 2 Dwelling occupied by a household temporarily absent during the whole census period
[] 3 Dwelling empty / vacant
[] 4 Secondary or seasonal dwelling
[] 5 Other
[] 2 Stone with dried earth
[] 3 Adobe
[] 4 Stone only, without cement
[] 5 Wood, iron sheets, branches, reed
[] 6 Other materials
[] 2 Wood, branches, reed, covered with earth
[] 3 Wood, branches, reed, not covered with earth
[] 4 Iron sheets
[] 5 Wood planks and tiles
[] 6 Other materials
[] 1 Yes, private
[] 2 Yes, shared
25b. Toilet WC inside the dwelling
[] 1 Yes, private
[] 2 Yes, shared
25c. Modern bathroom or shower inside the dwelling
[] 1 Yes, private
[] 2 Yes, shared
25d. Traditional Moroccan bathroom inside the dwelling
[] 1 Yes, private
[] 2 Yes, shared
25e. Is the dwelling connected to a public water supply network?
[] 1 Yes
25f. Water from a spring or from a well inside the dwelling?
[] 1 Yes, private
[] 2 Yes, shared
25g. Is the dwelling connected to a public network of electricity distribution, or supplied with an electric generator?
[] 1 Yes
26. Source of lighting (for households not supplied with electricity)
[] 2 Gas lamp (butane)
[] 3 Traditional lamp (kandyle)
[] 4 Candle
[] 5 Other cases
27. Tenant status of the dwelling
[] 2 In process of becoming landlord
[] 3 Tenant
[] 4 Under mortgage
[] 5 Housing provided by employer
[] 6 Free lodging
[] 7 Other cases
29. Number of rooms occupied by the household
[This section is crossed out by hand]
30. Deaths that occurred in the household during the past 12 months.
[] 0 No
[] 1 Yes
If yes, fill in the following table
Relationship with the household head __________
Sex of the deceased persons:
[] 2 Female
Month _ _
Year _ _ _ _
[Page 3]
Q02: First name and last name
(Copy the list of persons declared to be members of the household: resident present, and resident temporarily absent notified in the separate table household members: Table 1)
[] 2 R.T.A. -- Resident temporarily absent
Q04: Relationship to the head of household
[] 2 Spouse of the household head
[] 3 Child (son or daughter)
[] 4 Parents (father or mother)
[] 5 In-law children (son/daughter-in-law)
[] 6 Other relatives
[] 7 Not related by blood
[] 2 Females
Date of birth:
(Example: a persons declares being born on February 2, 1967, write down 2 February 1967 in the appropriate boxes: "1 9 6 7"
YYYY in years: _ _ _ _
Age:
Age in years _ _ _
For children younger than 1 year, write "00"
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 2 Algerian
[] 3 Tunisian
[] 4 French
[] 5 Spanish
[] 6 Other nationality: specify _________
For persons born in the place where they are enumerated, write "MRA = same as actual residence".
____________________
Q10: Place of previous residence
For persons who never moved from the place where they are enumerated, write "MRA = same as actual residence".
____________________
[Page 4]
___________
Q12: Place of residence at time of the Green March (November 6, 1975)
If the current place of residence is the same as that at the beginning of the Green March, write "MRA = same as actual residence".
___________________________
Life time fertility
For resident women, married, widowed, or divorced age 50 years or younger, specify the total number of live births
Q13A: Number of children currently living within the household ______
Q13B: Number of children not currently living within the household (living elsewhere) _____
Q13C: Number of children who died _____
Fertility in the past 12 months
Q13D: Number of children still alive ______
Q13E: Number of children who died ________
[Questions 14-17 are for persons age 10 or older]
Q14: Literacy (knows to read and write)
[] 1 Arabic only
[] 2 Arabic and French only
[] 3 Arabic, French and other languages
[] 4 Arabic and languages other than French
[] 5 Other cases, specify
_________________
______________________
Examples: Kindergarten; Preschool (maternelle); Koranic school; Primary school, third grade (CE2); Secondary school, eight grade (4-ème); Medical school, second year; etc.
[] 1 CH1 -- Jobless, never worked
[] 2 CH2 -- Jobless, has worked before
[] 3 FF -- Housewife, girls at home
[] 4 EC -- Student, pupil
[] 5 RET -- Retired, pensioned, living on private means
[] 6 MAL -- Disabled, handicapped, sick person
[] 7 JEU -- Too young to work
[] 8 AUT -- Other cases
[Page 5]
[Housewives and other inactive persons, other than pupils and students age 7 or older]
Q18: Did you practice a job during the period from 23rd of July 1982 to the census reference date?
If yes, note number of days you worked; otherwise, note "00".
If no, [give] reason:
[] 2 Hands full doing household work
[] 3 Spouse or parent does not agree
[] 4 Not capable of working
[] 5 Does not want to work
[] 6 Other reasons to mention
[] 2 Has one of the activities specified in the instructions
[] 3 Has no work (no such activity)
__________________________
Example: bricklayer, car mechanic, cereal farmer, cattle stockbreeder, etc.
Q20: Branch of economic activity (main activity of the company or the business building where you work)
_____________________
Example: shoe factory, retail shop for milk products, stockbreeding of sheep and goats, etc.
[] 2 Self-employed, with premises
[] 3 Self-employed, at home
[] 4 Self-employed, traveling or without premises
[] 5 Salaried
[] 6 Family aid
[] 7 Apprentice
[] 8 Other, specify
[Page 6]
Important notice
In order to have a complete snapshot view of the population and its characteristics, it is necessary to specify a precise reference date for the census. This is why this page should be filled first (Table 1 and Table 2) in order to identify the household members according to the definition adopted for the census (see the instructions).
The list of the persons written in Table 1 will then be copied in Column 2 of the household and dwelling sheet, in the order specified in the instructions for the relationships to the household head.
Table 1: Persons usually resident (present or temporarily absent)
C01: Last name and first name
Do not forget to enumerate the babies, the young children, the elderly, the persons who are not related by blood to the household head, and the persons resident in the household who are temporarily absent.
C02: Relationship with the household head
[] Spouse of the household head
[] Child (son or daughter)
[] Parents (father or mother)
[] In-law children (son/daughter-in-law)
[] Other relatives
[] Not related by blood
[] R.T.A. -- Resident temporarily absent
For each resident temporarily absent:
C04: Duration of absence _____________
C05: Reason for being absent _____________
Table 2: Persons visiting in the household (visitors)
C02: Last name and first name of the persons who are visiting in the household
C03: Duration of presence
[Morocco 1982 Enumeration Form]
[Royaume du Maroc]
[Premier Ministre / Secrétariat d'Etat au Plan et au Développement Régional / Ministère de l'Intérieur]
[Recensement Général de la Population et de l'Habitat, 1982]
[Feuille de Population Comptée à part -- Milieu Rural]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
FORM FOR POPULATIONS LIVING IN INSTITUTIONS
RURAL AREAS
(Bilingual Form in French and Arabic)
Visa No: ??.. / Direction de la Statistique
[Page 1]
1. Province or préfecture
2. Cercle
3. Commune rurale
4. Fraction
5. Douar
6. Census track
7. Dwelling unit number in district
8. Number of households living usually in the institution
9. Number of questionnaires filled for this institution
12. Name of the institution
13. Address of the institution
14. Name of the census enumerator
15. Name of the respondent
16. Date of interview
17. Name of the supervisor
18. Date of the supervisor
19. In the office
20. Signature of the supervisor
[Section 2] Type of institution
[] 2 Hospital
[] 3 Boarding house (private or public)
[] 4 Jail, prison
[] 5 Asylum, workhouse, retirement home
[] 6 Watched approved school
[] 7 Temporary camp for construction site, where workers live who do not have any other home
[Page 3]
Q01: Line number
Q02: First name and last name
Q03: Date of entry in the institution
Month _ _
Year _ _ _ _
__________________________
[] 2 Females
Month _ _
Year _ _ _ _
Age in years _ _ _
For infants (younger than age 1), write "00"
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 02 Algerian
[] 30 French
[] 31 Spanish
[] 5 Other nationality, specify ___________
___________________________
Example: bricklayer, car mechanic, cereal farmer, cattle breeder, etc.
Code (3-digits) _ _ _
Label __________________
[Morocco 1982 Enumeration Form]
[Royaume du Maroc]
[Premier Ministre / Secrétariat d'Etat au Plan et au Développement Régional / Ministère de l'Intérieur]
[Recensement Général de la Population et de l'Habitat, 1982]
[Feuille de Population de passage dans les hôtels et assimilés-- Milieu Rural]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
FORM FOR POPULATIONS LIVING HOTELS AND SIMILAR PLACES
RURAL AREAS
(Bilingual Form in French and Arabic)
Visa No: ??.. / Direction de la Statistique
[Page 1]
1. Province or prefecture
2. Cercle
3. Commune rurale
4. Fraction
5. Douar
6. Census track
7. Institution number in the district
8. Number of households resident usually in the institution
9 Number of questionnaires filled for this institution
10. Name of the institution
11. Address of the institution
12. Name of the census enumerator
13. Name of the respondent
14. Date of interview
15. Name of the supervisor
16. Date of the supervisor
17. In the field
18. In the office
19. Signature of the supervisor
[Section 2] Type of institution
[] 2 Classified hotel
[] 3 Holiday village
[] 4 Youth hostel
[] 5 Camping site
[] 6 Other cases, specify
[Page 3]
Q01: Line number
Q02: First name and last name
Q03: Date of entry in the institution
Month _ _
Year _ _ _ _
_______________________
[] 2 Algerian
[] 3 Arab, specify ______________
[] 4 French
[] 5 Spanish
[] 6 Other nationality, specify ___________
[Morocco 1982 Enumeration Form]
[Royaume du Maroc]
[Ministère du Plan de la Formation des cadres et de la Formation professionnelle / Ministère de l'Intérieur]
[Recensement Général de la Population et de l'Habitat, 1982]
[Feuille de ménage nomade-- Milieu rural]
GENERAL CENSUS OF POPULATION AND HOUSING, 1982
SPECIAL FORM FOR NOMADIC HOUSEHOLDS
RURAL AREAS
(Bilingual Form in French and Arabic)
Visa No: 1-2-82-1 / Direction de la Statistique
[Page 1]
1. Province or préfecture
2. Cercle
3. Commune rurale
4. Fraction
5. Sub-fraction
6. Douar
7. Number of questionnaires filled for this household
8. Does the household head have a vital registration booklet?
[] 1 Yes
9. If yes, date of issue of this booklet
13. Number of resident household members (not counting the visitors)
15. Name of the census enumerator
16. Name of the respondent
17. Date of interview
18. Name of the supervisor
19. Date of the supervision
in the field
20. Signature of the supervisor
21. Observations
[Page 2] Section M
M01 Land ownership
Does the household own arable land?
[] 1 Yes
M02 Type of construction
Does the household own a constructed house?
[] 1 Yes
If yes, specify the type of construction
[] 2 Stone only, without cement
[] 3 Adobe
[] 4 Other materials
M03 Ownership of livestock
Does the household own livestock?
[] 1 Yes
If yes, specify the type of livestock: sheep, goats, etc. __________
M05 Number of tents owned by the household
[A foot note says that instead of the mortality section there were other questions]
[This section is crossed out by hand]
30. Deaths that occurred in the household during the past 12 months.
Was there any death during this period?
[] 1 Yes
If yes, fill in the following table
Relationship with the household head
Sex of the deceased persons
[] 2 Female
Month _ _
Year _ _ _ _
[Page 3]
Q02: First name and last name
(Copy the list of persons declared to be members of the household: resident present, and resident temporarily absent notified in the separate table household members: Table 1)
[] 2 R.T.A. -- Resident temporarily absent
Q04: Relationship to the head of household
[] 2 Spouse of the household head
[] 3 Child (son or daughter)
[] 4 Parents (father or mother)
[] 5 In-law children (son/daughter-in-law)
[] 6 Other relatives
[] 7 Not related by blood
[] 2 Females
Date of birth
(Example: a persons declares being born on February 2, 1967, write down 2 February 1967, in write in the appropriate boxes: 1 9 6 7
YYYY in years: _ _ _ _
Age
Age in years: _ _ _
For children younger than 1 year of age, write "00"
[] 2 Married
[] 3 Widowed
[] 4 Divorced
Life time fertility
[For resident women, married, widowed, or divorced age 50 or younger, specify the total number of live births]
Q13A: Number of children currently living within the household _________
Q13B: Number of children not currently living within the household (living elsewhere) _____
Q13C: Number of children who died _____
Fertility in the past 12 months
Q13D: Number of children still alive _______
Q13E: Number of children who died _________
[Questions 14-17 are for persons age 10 years or older]
Q14: Literacy (knows to read and write)
[] 1 Arabic only
[] 2 Arabic and French only
[] 3 Arabic, French and other languages
[] 4 Arabic and languages other than French
[] 5 Other cases, specify
______________________
_____________________
Examples: Kindergarten; Preschool (maternelle); Koranic school; Primary school, third grade (CE2); Secondary school, eight grade (4-ème); Medical school, second year, etc.
[] 1 CH1 -- Jobless, never worked
[] 2 CH2 -- Jobless, has worked before
[] 3 FF -- Housewife, girls at home
[] 4 EC -- Student, pupil
[] 5 RET -- Retired, pensioned, living on private means
[] 6 MAL -- Disabled, handicapped, sick person
[] 7 JEU -- Too young to work
[] 8 AUT -- Other cases
[Page 5]
[] 1 Is helping another household member in his / her activity
[] 2 Has one of the activities specified in the instructions
[] 3 Has no work (no such activity)
________________________
Example: bricklayer, car mechanic, cereal farmer, cattle breeder, etc.
Q20: Branch of economic activity (main activity of the company or the business building where you work)
___________________________
Example: shoe factory, retail shop for milk products, stockbreeding of sheep and goats, etc.
[] 2 Self employed
[] 3 Salaried
[] 4 Family aid
[] 5 Apprentice
[] 6 Other, specify
[Page 6]
Important notice
In order to have a complete snapshot view of the population and its characteristics, it is necessary to specify a precise reference date for the census. This is why that this page should be filled in first (Table 1 and Table 2) in order to identify the household members according to the definition adopted for the census (see the instructions).
The list of the persons written in Table 1 will then be copied in Column 2 of the household and dwelling sheet, in the order specified in the instructions for the relationships to the household head.
Table 1: Persons usually resident (present or temporarily absent)
C01: Last name and first name
Do not forget to enumerate babies, young children, elderly, persons who are not related by blood to the household head, and persons resident in the household who are temporarily absent.
C02: Relationship with the household head
[] Spouse of the household head
[] Child (son or daughter)
[] Parents (father or mother)
[] In-law children (son/daughter-in-law)
[] Other relatives
[] Not related by blood
[] R.T.A. -- Resident temporarily absent
For each resident temporarily absent:
C05: Reason for being absent
Table 2: Persons visiting in the household (visitors)
C02: Last name and first name of the persons who are visiting in the household ___________
C03: Duration of presence ___________