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Enumeration Form
Population Census, 2002
Russia


D1 - Long questionnaire

Last name, first name, patronymic and census No. (from form P, list A, column 1) of persons living permanently in the dwelling ________

1. Your relationship to the person listed first in this household
[] 1 Person listed first in the household
[] 2 Wife, husband
[] 3 Daughter, son
[] 4 Mother, father
[] 5 Sister, brother
[] 6 Mother-in-law, father-in-law
[] 7 Daughter-in-law, son-in-law
[] 8 Grandmother, grandfather
[] 9 Granddaughter, grandson
[] 10 Other degree of kinship or relationship by marriage
[] 11 Not related

If the mother (or father) of this person lives in the same household, indicate the census No. from form P, list A, column 1, under which the mother (or father) is listed Mother's (or father's) No.

2. Your sex

[] 1 Male
[] 2 Female

3. Your date of birth
____ Day
____ Month
____ Year
____ Age

4. Your marital status
[] 1 Never married
[] 2 Married
Was the marriage registered with the registry office? ____
[] 3 Divorced
[] 4 Separated
[] 5 Widow or widower

If the spouse lives in the same household, indicate the census No. from form P, list A, column 1, under which the spouse is listed

5. Your place of birth ________

Indicate the name of the autonomous district, region, area or republic of the Russian Federation or the name of the State concerned

6. Your citizenship
[] 1 Russian Federation
[] 2 Other State (indicate name of State) ________
[] 3 Stateless

7. To which national or ethnic group do you belong? ________
This response is to be defined by the respondent.

8. Are you a student?
Question 8 is asked of persons aged 6 or older
School/high school/college/higher educational institution etc.
[] 1 Yes - Indicate type of educational institution:
[] a General basic
[] b Elementary vocational
[] c Secondary vocational
[] d Higher educational institution
[] 2 No - Move on to question 9

9. Does the child attend a pre-school institution?
Question 9 is directed at children aged 3-9 who do not attend school
[] 1 Yes
[] 2 No

10a. What is your highest level of education?
Question 10 is for persons aged 10 or older
[] 1 General elementary (elementary)
[] 2 General basic (incomplete secondary)
[] 3 General (complete) secondary
[] 4 Secondary vocational (secondary specialized)
[] 5 Incomplete higher vocational (incomplete higher)
[] 6 Higher vocational (higher)
[] 7 Postgraduate vocational

10b. If you lack general elementary education, indicate whether you can read and write:
[] 1 Yes
[] 2 No

10c. Did you complete vocational or vocational/technical school?
Question 10c is for persons aged 15 and over who have completed general (complete) secondary education or less
[] 1 Yes
[] 2 No

11. What is your mother tongue
[] 1 Russian - Skip to question 13
[] 2 Not Russian, indicate language ________

12. Are you fluent in Russian?
[] 1 Yes
[] 2 No

13. Indicate other language which you speak fluently ________

14. Indicate all sources of income available to you
[] 1 Income from work (except work on a private subsidiary plot)
[] 2 Private subsidiary plot
[] 3 Grant
[] 4 Pension
[] 5 Benefit (except unemployment benefit)
[] 6 Unemployment benefit
[] 7 Other form of State support
[] 8 Savings
[] 9 Income from lease or rental of property
[] 10 Interest on investments and securities
[] 11 Dependent
[] 12 Other source

15. Did you have a job or gainful occupation from October 2 to October 8 of 2002?
[] 1 Yes
[] 2 No - Skip to question 20

16. What was your job?
If you had more than one job (gainful occupation), indicate the job (or occupation) which you consider to be the most important.
[] 1 As a paid worker
[] 2 At your own enterprise or business:
[] a Permanently employing workers
[] b Not employing workers or occasionally employing workers
[] c As a member of a production cooperative (workshop)
[] 3 As an unpaid assistant at an enterprise or on a peasant holding or farm belonging to a relative or relatives

17a) Name the main activity of the enterprise (organization, private business) in which you were engaged as your main job ________
Question 17 is only for those who marked "yes" for question 15.
Example: cultivation of grain crops; iron ore mining; production of fertilizers; plaster work; retail sale of vegetables and fruit in specialized shop; passenger transportation by rail; dentistry; medical services in a hospital; teaching in a primary school; private security service; collection and removal of rubbish; home tutoring services; restaurant services; work in office canteens; services in on-site clinics; State administration, etc.
17b) What are the main goods or services produced by the enterprise (organization, or private business) in which you were engaged as your main job? ________

18. What is your post or occupation in your main job ________
Question 18 is only for those who answered "yes" to question 15.

19. Is your main job located within your town (district)?
Question 19 is only for those who answered "yes" to question 15
[] 1 Yes - skip to question 21
[] 2 No - within your region (autonomous district, district, republic)
Indicate whether it is:
[] In another place
[] Indicate the name of the autonomous district, region, district, republic of the Russian Federation or the name of the other State ________
Skip to question 21 after completing this question.

20. Were you seeking work last month?
Question 20 is only for those aged 15-64 who answered "no" to question 15.
[] 1 Yes
If you were offered a suitable job, were you able to start within two weeks?
[] 1 Yes
[] 2 No
[] 2 No.
Indicate the main reason:
[] a Found a job and will start work within the next two weeks
[] b Applied for a job and awaiting a reply
[] c Awaiting the beginning of the season
[] d Unable to find work
[] e Occupied with housework
[] f Other reason

21. Have you lived continuously in this town (municipality or rural district) ever since you were born?
[] 1 Yes
[] 2 No
[If answer no in question 20]
1. Indicate the year from which you have lived here continuously. If a year between 1989 and 2002 is shown, go to sub-question 2. ____
2. Indicate where were you living in January 1989?
(a) Name of autonomous district, region, district or republic of the Russian Federation or name of another State ________
(b) Type of location in which you were living
[] Urban
[] Rural

22. How many children have you had? ____
Question 22 is only for women over 15 years of age.
Enter the total number of live births (not counting stillbirths)

K1 - Short questionnaire

Last name, first name, patronymic and census number. (from form P, list A, column I) of persons living permanently in the dwelling

This questionnaire is a shorter version and uses question 1-16 of the previous type of questionnaire (Form D).

Form P1 - Census list for the population of the Russian Federation All-Russian Population Census, 2002.

Address of dwelling:
________ Entity of the Russian Federation
________ District
________ Rural administration
________ Town
________ Avenue, street, lane
________ Building No., or landlord's last name and initials
________ Institution
________ Homeless
________ Institution code

List A: Permanently (habitually) living in this dwelling
Census number of persons living permanently in the dwelling Census number of persons living permanently in the household First name, last name, patronymic
For persons who are temporarily absent, indicate:
____ Reason for absence
____ Duration of absence

List B: Temporarily living in this dwelling at the time of the population census and having another place of permanent residence (not listed in forms D and K)
____ No. of persons
____ First name, last name, patronymic
____ Address of permanent (habitual) place of residence
____ Length of stay in that residence

P2 - Census list for the population of the Russian Federation

Living conditions of the population

1. Description of accommodation

1a. Type of dwelling
[] 1 Separate building
[] 2 Separate apartment
[] 3 Communal apartment
[] 4 Hostel - [Skip to forms D or K]
[] 5 Hotel - [Skip to forms D or K]
[] 6 Other accommodation - [Skip to forms D or K]

1b. Date of construction of dwelling
In case of reconstruction, additions and expansions, the year of occupation is the year of initial construction:
[] Before 1989
[] 1989-1993
[] 1994-1998
[] 1999-2002

1c. Total area of the individual dwelling or apartment (in square meters) ____

1d. Total number of occupied rooms in the individual dwelling or apartment ____

1e. Total occupied area of the individual dwelling or apartment (in square meters) ____

1f. Indicate what facilities are available in the dwelling
Note: More than one (from choice 1-12) can be marked
[] 1 Electricity
[] 2 Free-standing electric stove
[] 3 Piped gas
[] 4 Bottled gas
[] 5 Central heating
[] 6 Heating from individual appliance or furnace
[] 7 Stove heating
[] 8 Piped water
[] 9 Sewerage
[] 10 Bath or shower
[] 11 Central hot water supply
[] 12 Hot water supply from individual water heater
[] 13 None of the above
If an individual dwelling or apartment is occupied by one household which is renting accommodation from a private landlord, indicate here: _______

2. If two or more households live in this individual dwelling or private or communal apartment, reply to the following questions for each household
Census No. of first member of household in dwelling, from list A, column 1
1. Number of occupied rooms _ _
2. Area of occupied space (in square meters) _ _
Renting residential space from private landlords
Part of room