Mongolia Population and Housing Census 2000
Approved by the National Statistical Office of Mongolia. 1999.
All census staff should keep responses confidential in accordance with Mongolian legislation on "Confidentiality of private information" and Mongolian legislation on "Statistics" (article 3, chapter 22).
Census commission number _ _ _
Aimag, capital city ____ _ _
Soum, district ____ _ _
Village ____ _ _
Bag, horoo ____
Residence:
[] 2 Aimag center
[] 3 Village
[] 4 Som center
[] 5 Countryside
Street name ____ _ _ _
House number _ _ _
Apartment (fence) number _ _ _
[Type of house]
[] 2 Shared house
[] 3 Dormitory or other house
Number of persons enumerated _ _
Number of questionnaires completed _ _
All persons should answer.
[Questions 1-9.]
____ Family name
____ First name
1. Relationship to household head
[] 02 Wife/husband
[] 03 Daughter/son
[] 04 Parents
[] 05 Sister/brother
[] 06 Parents-in-law
[] 07 Daughter/son-in-law
[] 08 Grandparents
[] 09 Grandchild
[] 10 Other relatives
[] 11 Non-relatives
3. Date of birth:
Month _ _
4. Age (in completed years) _ _ _
5. Citizenship:
[] 88 Non-citizenship
[] Foreign (specify) ____ _ _
6. Ethnicity:
[] Other (specify name) ____ _ _
7. Residence:
[] 2 Temporary absent
[] 3 Visitor
Write usual address for visitors and address at census for temporary absentees.
Aimag, capital city/country ____ _ _
Soum, district/city ____ _ _
8. How long have you been living at usual residence?
[] 2 Moved in
Aimag, capital city/ country ____ _ _
Year moved in 19 _ _
10. Place of usual residence on January 1, 1995? ____ _ _
(persons aged 5 and above should answer)
Persons aged 7 and above should answer.
[Questions 11-13 were asked of persons aged 7 and over.]
11. Education:
[] 2 Primary [skip to question 13]
[] 3 Grade 4-8 [skip to question 13]
[] 4 Grade 9-10 [skip to question 13]
[] 5 Technical vocational [skip to question 13]
[] 6 Diploma [skip to question 13]
[] 7 High [skip to question 13]
12. Literacy:
[] 1 Literate
[] 2 Illiterate
13. Are you studying now?
[] 1 Yes
[] 2 No
Persons aged 15 and over should answer.
[Questions 14-19 were asked of persons 15 and over.]
14. Marital status:
[] 2 Married
[] 3 Living together
[] 4 Separated
[] 5 Divorced
[] 6 Widowed
15. Have you worked during the last week?
[] 2 No [skip to question 19]
[Questions 16-18 were asked of persons age 15+ who worked during last week.]
17. Sector name, type of activities at place of work ____ _ _ _
18. Employment status:
[] 2 Employer
[] 3 Self-employed
[] 4 Member of cooperative
[] 5 Household member working without payment in family's business or farm
[] 6 Other
19. Why haven't you been working?
[] 1 Studying
[] 2 On pension/retired
[] 3 Disabled
[] 4 Home duties
[] 5 No work available
[] 6 Looking for a job
[] 7 Other
[] 2 No
Conditions and types of houses/gers
1. Types of house/ger:
[] 2 Ger [skip to question 11.]
Houses
[Questions 2-10 were asked of households living in houses not gers.]
2. Type of living quarters
[] 2 Apartment
[] 3 Students dormitory
[] 4 Public dormitory
[] 5 Other public apartment
[] 6 Non-living quarters
[] 7 Other
4. Living area (square m) _ _ _
5. Type of heating:
[] 2 Non-centralized
[] 3 Other
6. Source of water supply:
[] 2 Cold water pipe only
[] 3 Water from outside: well
[] 4 Water from outside: hand well
[] 5 Water from outside: other
7. Disposal of household waste:
[] 2 Special hollow
[] 3 Outside of house
[] 4 No special place for waste
8. Toilet:
[] 2 Inside of house: public
[] 3 Outside of house
9. Kitchen:
[] 2 No kitchen in house
[] 3 Kitchen in house - shared
10. Bathroom/shower:
[] 2 No bathroom/shower in house (skip to question 17)
[] 3 Bathroom/shower in house - shared (skip to question 17)
Conditions of ger
[Questions 11-16 were asked about households living in gers.]
13. Source of water supply:
[] 2 Hand well
[] 3 River, spring
[] 4 Lake, pool
[] 5 Other
14. Waste disposal:
[] 2 No
16. Burrowhole for dirty water disposal:
[] 2 No
Will be filled out by all households
[Questions 17-21 were asked of all households.]
17. Type of property:
[] 2 Private
[] 3 Mixed
18. Electricity:
[] 2 No
____ Enumerator _ _th of ____, 2000
____ Supervisor _ _th of ____, 2000