Federal Entity ___
Municipality ___
Name of the locality, population center or colony ___

Official category of the locality, population center, or colony ___
Center number ___ Section Number ___ Block number ___

Name of the census taker ___

Address of the census taker ___

Name of the block leader ___

Name of the section leader ___

[The questionnaire has 18 rows for data on 18 persons.]

Line Number

Location

Number of the house or home

4. Given name and last names of the person ____

List each and every one of the persons who live or regularly reside in the house or home.
Always start with the name of the head of household.
Be careful to include all of the persons who live in the house or home, those present and those who are not present at the time.
All children should be included, whatever their ages.
Do not forget the newborns.

5. The name of the head of household should be identified with an (X)

6. Relationship or affiliation ____

That the person has with the head of household. Examples: wife, child, father-in-law, goddaughter, employee, etc.

Sex (Mark and X in the corresponding box)

[] 7. Man

[] 8. Woman

Age
9. For persons over one year old

10. For persons less than one year old


If one column is filled, do not fill the other one.

11. Place of birth

If the person was born in the United States of Mexico, write in which state. For example: Coahuila, Quintana Roo, Federal District, etc.

If the person was born in another country, write the name of the country. For example: France, Spain, United States, etc.

Change of place of residence

12. How many years has the person lived in this state, if the person was not born in the state where the census is being taken

13. Write the name of the state or foreign country where the person lived before living here.

Nationality

[] 14. Mexican

15. If the person is a foreigner, write his/her current nationality: Lebanese, Guatemalan, Chinese, etc.

Language

[] 16. Spanish or Castilian

17. Language or indigenous dialect that the person speaks as a native tongue. Examples: Nahuatl, Otomi, Zapotec, etc. If the person is or was a foreigner write down his/her native tongue, this is, the language he/she spoke during his/her childhood at home. Examples: English, French, Chinese, etc.

Religion

18.

Education

19. Does he/she know how to write? Yes or No.

20. Years of elementary education completed and passed (From first to the sixth grade)

21. Years of education completed and passed higher than elementary education (add up all years of education except elementary education)

22. Type and grade of education that he/she is receiving at the time of the census.
Examples: Sixth grade elementary, 1st grade secondary, 1st grade preparatory, 2nd grade pre-vocational, 1st grade vocational, 2nd grade civil engineering. 3rd grade law, 1st grade business, 4th grade medicine, mechanics via correspondence school, etc.

Civil Status

[] 23. Single
[] 24. Married - civil ceremony
[] 25. Married - religious ceremony
[] 26. Consensual Union
[] 27. Widowed
[] 28. Legally divorced

Fertility

Only for women

29. Total number of children (live births) that you have had, whether or not they are still alive at the time of the census.

Housework.
Only for women

[] 30. Housework in her own home is her only activity (do not include the household servants).

Principal occupation

[] 31. Own account land owner [Ejidatario]

[] 32. Rural laborer

33. Write the principal occupation of the person. For example: farmer, cowboy, carpenter, well digger, retail worker, driver, professor, doctor, typist, etc.

Work status

[] 34. Laborer
[] 35. Employee of any category
[] 36. Boss, businessman, employer
[] 37. Own worker
[] 38. Unpaid family worker

Type of activity


39. Where the person works. Examples: agricultural farm, cattle ranch, furniture factory, oil field, grocery store, passenger bus company, rural school, doctor's office, tax office.

For those who worked

40. If he/she worked in the week before the census, write the number of days worked. 4, 5 days. If he/she did not work, make a horizontal line: --.

41. How much was he/she paid for the work, occupation, or labor during the month of May, 1960? Salary, pay, daily wage, commissions, fees, etc. (write the amount in pesos)

For those who did not work:

42 How many weeks have you been without paid employment? (Write the number of weeks.)

43. If you are looking for paid employment or work having worked before, write 1. If you are looking for work for the first time, write 2.

Daily habits

44. Do you eat wheat bread? Yes or no.

45. Do you eat one or more of these foods? Meat, eggs, milk, fish. Write yes or no.

46. Write 0 if you do not wear shoes (barefoot), 1 if you wear huaraches or sandals, 2 if you wear shoes.

Characteristics of the dwelling

47. If you own the dwelling, make an X.

48. Principal material of the walls. Examples: Abode, wood, partitions, clay-covered sticks, boards, blocks of light material, Quarried stone, etc.

49. Number of rooms that can be used. Do not count the kitchen, bathrooms, or halls.

50. Total number of persons who live in the dwelling.

51. Is there piped water in the dwelling? Yes or No

52. Is there piped water outside the dwelling, but inside the building? Yes or no

53. No water service

54 Does the dwelling have a drain or sewer? Yes or no

55. Does the dwelling have running water in the bathroom? Yes or no

56. Material used for cooking. For wood or charcoal, write 1; petroleum, paraffin, etc. write 2; for [propane] gas, electricity write 3.

57. If the dwelling has a radio, write R; if the dwelling has a television, write TV; if the dwelling has a radio and a television, write RTV.

58. If the person answering the census depends economically on the head of household, make an X.

[The following are additional instructions from the bottom of the questionnaire:]

These examples are for one family that lives in any state other than the one in column 13.

[Avenue Hidalgo; 15; 8; a head of household, his wife, two sons and one daughter; all of the spaces have been filled by hand]

Mister Census Taker: Read the instructions carefully and the instructions in the special pamphlet. Ask the questions clearly to the person answering the census and write the answers correctly. The success of the General Population Census depends on this.

Column 4: Be careful to list all of the members of the family, including newborns, commonly called 'cradled'

Columns 9 and 10: Insist that the person answering the census provide the correct age of all the persons, writing the age for persons over one year. In column 10, for persons less than one year old, write the months completed. For those under one month old, write 0 in the column 10.

Columns 12 and 13: If the person is not a native of this place or of a place within the same state, ask how long he/she has lived here, and write this number in column 12. Pay attention that column 13 is for the persons who are not native of this state. In column 13, write the name of the state where the person lived before living here. If the person lived in a foreign country before living here, write the name of the foreign country in column 13. In the case of persons who lived in another country temporarily for a period of less than six months, do not count the country where he/she lived, but count the state of the Republic where he/she lived before the temporary stay in another country, when it is not the same one where he/she lives now.

Column 20: Pay attention that in this column you should note the number of years passed only in elementary school and this can only be 1, 2, 3, 4, 5, or 6 years, whether in official [public] or private schools.

Column 21: When the person has additional years of education completed and passed any type of education higher than elementary education, in this column you should write the total number of years completed and passed, without including the elementary years.

Column 22: This column will only be used for persons who are currently enrolled in any school at the time of the census. Write the type of education and the year. For example: third grade elementary, 1st grade secondary, 2nd grade preparatory, 5th grade medicine, etc.

Columns 31 and 32: if the person has access to an ejido (common lands) and works on the ejido to earn most or all of his/her income, make an X in column 31, and also make an X in column 37. When the person works as a laborer or day-laborer for pay on an agricultural or cattle farm, aviary production or forestry, you should make an X in column 32 and in column 34.

Column 33: You should be very careful in completing column 33. To complete the column, you should as the person for his/her principal occupation, which is the job he/she has and from which he/she derives most or all of his/her income, or the principal occupation that he/she had the last time he/she was employed. This principal occupation will be written clearly, not writing general or vague names, but specific occupations such as: carpenter, civil engineer, typist, etc.

Columns 34, 35, 36, 37, and 38: If the person is a laborer, for example, cowboy, mechanic, driver, etc, you should make an X in column 34. If the person is an employee, for example, a typist, retail worker, archivist, etc., you should make an X in column 35. If the person is the owner of a store, factory, farm, etc, which means that he/she employees workers, laborers, or both, this means that he/she is the employer and you should make an X in column 36. When the person does not employee any workers, nor work for someone else, he/she is a self-employed or 'own worker' and you should make an X in the column 37. For example, land owner (ejido), traveling salesperson, shoe repair worker, etc. In column 38, only make an X when the person provides work or services without payment, which means that he/she does not receive any pay, salary, etc. for helping the head of household in the business or work that he/she does. For example, the child of the owner of an ejido that helps his father with the work in the business.

Column 39: This column is closely related to column 33, which means that the notes in column 39 refer to the type of business or activity in which the person works, and should refer to the occupation that he/she has. For example, if you have written 'farmer' in column 33, in column 33 you should write, for agricultural farm.

Column 41: Write only the amount that the person received in the past month (May 1960) as payment for his/her work, occupation, or profession. If, for example, he/she is a doctor, write the amount received as payments; if he/she is a laborer, write the amount received as salaries for the month, for an employee, write the amount of salaries, etc. In the case of various incomes, you should write the total of all income.

Column 43: If there is an X in column 42 because the person is unemployed, you should ask two things: first if he/she has had previous work, and second, if he/she is looking for paid employment. If he/she has never had work and is looking for the first time, write 1 in column 43. If he/she has never worked before, write 2 in column 43.

Column 45: You should ask about eating habits, if he/she eats one or any of several foods as a daily habit: meat of any type, eggs, milk, or fish. If one or any of these foods are part of the diet, write 'yes,' if not, write 'no.'



Column 46: If the person does not wear shoes, write 0 in this column. If he/she wears huaraches or sandals, write 1, and 2 if he/she wears shoes.

Column 47-57. These columns are for the dwelling or house that the family occupies. Therefore, the answers will only be written in the row for the head of household.

Column 47: If the family that lives in the dwelling is the homeowner, make an X. If not, leave the column blank.

Column 58: In this column, make an X if the person answering the census depends economically on the head of household. For example, spouse, small children, older children that do not work, etc.

When you are done with the census, check the cattle registry in the population centers.

In addition to these instructions, the census taker should read the instructions in the pamphlet that is with this form.