Republic of Trinidad and Tobago
Central Statistical Office
Population and Housing Census
May 15, 2000
Questionnaire code T T 1
_ _ Region ID
_ _ _ _ _ Enumeration district number
_ _ _ Building number
_ _ _ Dwelling number
_ _ _ Household number
County/Ward _ _ Enumeration district number _ _ _ _ _ Household number _ _ _
Name of respondent ____
Address of household____
Telephone number _ _ _ _ _ _ _
Municipality/Region____
Building _ _ _ Dwelling unit number _ _ _ Household number _ _ _
_ _ Number of persons in household
_ _ Total number of questionnaires
_ _ Questionnaire number
_ _ _ Selected household number (Office use) _ _ _
[] 2. Partially completed
[] 3. Not at home
[] 4. Refused
[] 5. Vacant dwelling
[] 6. Closed dwelling
[] 7. Other (specify)____
Supervisor's name____ Number____ Date____
Interviewer's name____ Number____ Date____
Field editor's name____ Number____ Date____
Editor's Name/Number (1st) ____ _ _ Signature ____ Date____
Coder's Name/Number ____ _ _ Signature ____ Date____
Editor's Name/Number ____ _ _ Signature ____ Date____
Section 1. Characteristics - For all persons
Boxes are precoded, tick the appropriate box please.
Interviewer: Remember to probe for elderly folk, infants, new born babies and persons who are temporarily resident and expected to be members of the household at midnight on the 15th May (Census day).
2. Relationship to head of household
[] 1. Head
[] 2. Spouse/partner of head
[] 3. Child of head/spouse
[] 4. Spouse/partner of child
[] 5. Grandchild of head/spouse
[] 6. Other relative of head
[] 7. Domestic employee
[] 8. Other non-relative
[] 9. Not stated
[] 1. Male
[] 2. Female
4(a) What is (N's) [the respondent's] date of birth?
4(b) What was (N's) [the respondent's] age at last birthday?
[] 1. African
[] 2. Indian
[] 3. Chinese
[] 4. Syrian/Lebanese (S/L)
[] 5. White/Caucasian
[] 6. Mixed
[] 7. Other ethnic group (O.E.G.)
[] 9. Not stated
[] 01. Anglican (E.C)
[] Baptist (specify)____
[] Hindu (specify)____
[] Muslim (specify)____
[] 04. Jehovah Witness
[] 05. Methodist
[] 38. Moravian
[] Pentecostal/Evangelical/Full Gospel (specify)____
[] 08. Presbyterian/Congregational
[] 09. Roman Catholic (R.C.)
[] Seventh Day Adventist (specify)____
[] Other (specify)____
[] 98. None
[] 99. Not stated
Section 2. Migration-For all persons
[] 1. Trinidad and Tobago
7(b) What was the usual address of (N's) [the respondent's] mother when (N) [the respondent] was born?
_ _ _ _
In which country was (N) [the respondent] born?
[] 308. Grenada
[] 328. Guyana
[] 662. St. Lucia
[] 670. St. Vincent
[] 356. India
[] 862. Venezuela
[] 826. U.K.
[] 840. U.S.A.
[] 98. Other (specify)____
[] 999. Not stated
7(d) Length of Stay in Trinidad and Tobago
How many years has (N) [the respondent] been living in Trinidad and Tobago?____
For both local and foreign born
Where does (N) [the respondent] usually live?
8(b) Address of place of usual residence
What is (N's) [the respondent's] place of usual residence?
_ _ _ _
(a) Did (N) [the respondent] live at this address one (1) year ago?
[] 2. No [Go to Q.9(b)]
[] 9. Not stated [Skip to Q.10]
(b) What was (N's) [the respondent's] address one (1) year ago?
_ _ _ _
10. Address five (5) years ago
(a) Did (N) [the respondent] live at this address five (5) years ago?
(b) What was (N's) [the respondent's] address five (5) years ago?
_ _ _ _
11. Address last census
(a) Did (N) [the respondent] live at this address last census, i.e. in 1990?
[] 2. No [Go to Q.11(b)]
[] 9. Not stated [Skip to Q.12]
(b) What was (N's) [the respondent's] address last census?
_ _ _ _
Section 3. Disability - For all persons
12. Long-standing disability
Does (N) [the respondent] suffer from any longstanding disability that prevents him/her from performing an activity?
[] 2. No [Skip to Q.14]
[] 9. Not stated [Skip to Q.14]
Does (N) [the respondent] have any difficulties in?
[] 02. Hearing (H.) (even with hearing aid if used)
[] 03. Speaking (SP.) (talking)
[] 04. Moving/Mobility (M./M.) (walking, standing, climbing stairs)
[] 05. Body Movements (B.M.) (reaching, crouching, kneeling)
[] 06. Gripping (G.)
[] 07. Learning (L.)
[] 08. Behavioral (B.)
[] 77. Other (O.) (specify) _______
[] 99. Not stated
Section 4. Health - For all persons
Does (N) [the respondent] suffer from any of the following illness?
[] 01. Arthritis (ART.)
[] 02. Asthma (AST.)
[] 03. Diabetes (DIA.)
[] 04. Hypertension (NYP.)
[] 05. Heart Disease (H.D.)
[] 06. Kidney Disease (K.D.)
[] 07. Cancer (C.)
[] 08. HIV/AIDS (H.I.V.)
[] 09. Lupus (L.)
[] 10. Sickle Cell Anemia (S.C.A.)
[] 77. Other (O.) (specify) _______
[] 99. Not stated
15. Utilization of Medical Facility
Has (N) [the respondent] utilized a medical facility in the past month?
[] 2. No [Skip to Q.17]
[] 9. Not stated [Skip to Q.17]
What main medical facility has (N) [the respondent] utilized in the past month?
[] 2. Public health centre (P.H.C.)
[] 3. Public maternity unit (P.M.U.)
[] 4. Private clinic/hospital (Pr.C.H.)
[] 5. Private doctor's office (B.M.) (Pr.D.)
[] 6. Pharmacy (Ph.)
[] 7. Other (O.) (specify) _______
[] 9. Not stated
Is (N) [the respondent] covered by Health Insurance and/or Employee Medical Plan?
[] 2. No
[] 3. Don't know
[] 9. Not stated
Section 5. Education-For all persons
18. Attendance at school/university/adult classes
(a) Is (N) [the respondent] attending school/adult classes?
[] 2. No [Skip to Q.21 (a)]
[] 3. Not stated [Skip to Q.21 (a)]
(b) Is (N's) [the respondent's] attendance?
[] 1. Full-time (F.T)
[] 2. Part-time (P.T)
[] 9. Not stated (N.S)
[Questions 19(a) and 19(b) was asked of those who are attending school/adult classes, per question 18(a)]
19(a) Type of school now being attended
[] 01. Nursery/Kindergarten/ Pre-school (N/K.)
[] 10. Private primary (P.P.)
[] 11. Government and Assisted Primary (G./A.P.)
[] 12. Post- Primary Centre (P.P.C.)
[] 20. Junior secondary (J.S.)
[] 21. Senior comprehensive (S.C.)
[] 22. Government and assisted secondary (G./A.S.)
[] 23. Composite (C.)
[] 24. Private secondary (P.S.)
[] 30. Trade/Vocational/ Youth Development and Apprenticeship Centre (T.V./Y.C.)
[] 32. Technical institute (T.I.)
[] 33. Commercial/Secretarial
[] 40. Business/Computer Science (B./C.S.)
[] 41. Adult/Continuing Classes (A./C.C.)
[] 42. Distance Learning (D.L.)
[] 60. University (U)
[] 70. Special School (S.S.)
[] 77. Other (specify) _____
[] 99. Not stated
Full Address____
_ _ _ _
20. Usual mode of transportation
Public
[] 0. Bus (PTSC.)
[] 1. Taxi (T.)
[] 2. Maxi Taxi (M.T.)
Private
[] 3. Private Car/Vehicle (P.C./V.)
[] 4. PH Taxi (PH.T.)
[] 5. Bicycle (B.)
[] 6. Walk (W.)
[] 7. Other (O.)
[] 8. Not applicable (N.A.)
[] 9. Not stated
21(a). Highest level of non-vocational educational attainment
What is (N's) [the respondent's] highest level of non-vocational educational attainment?
[] 2. Nursery/Kindergarten (N./K.)
[] 3. Primary (P.)
[] 4. Secondary (S.)
[] 5. University (U.)
[] 7. Other (O.)
[] 8. Not applicable (N.A.) [Skip to Q.22]
[] 9. Not stated [Skip to Q.22]
21(b). Years of schooling at highest level
How many years of schooling (at highest level of non-vocational educational attainment) did (N) [the respondent] have?
[] 1. 1 year
[] 2. 2 years
[] 3. 3 years
[] 4. 4 years
[] 5. 5 years
[] 6. 6 years
[] 7. 7 years or more
[] 9. Not stated
21(c). Highest examination ever passed
What is the highest exam (N) [the respondent] has ever passed?
[] 2. School leaving
[] 3. CXC Basic
[] 4. G.C.E. 'O'/CXC Gen. Prof. 1 or 2 subjects
[] 5. G.C.E. 'O'/CXC Gen. Prof. 3 or 4 subjects; S.C. Grade III
[] 6. G.C.E. 'O'/CXC Gen. Prof. 5 subjects and over; S.C. Grades I, II
[] 7. G.C.E. 'A'/HSC 1 or 2 subjects
[] 8. G.C.E. 'A'/HSC 3 subjects and over
[] 9. Diploma/or equivalent Certificate of Achievement
[] 10. First Degree
[] 11. Higher Degree
[] 77. Other
[] 99. Not stated
Section 6. Economic activity - For all persons fifteen (15) years old and over
This section deals with the economic activity of all who are 15 years old and over. Questions 23 to 24 apply to those answering [30] in Question 22.
22. Economic activity past week
What did (N) [the respondent] do during the past week?
[] 11. Had a job, did not work (H.J.N.W.)
[] 20. Seeking first job (S.F.J.)
[] 21. Others actively seeking work (A.S.W.)
[] 30. Did not look for work (D.N.L.W)
[] 99. Not stated
[Questions 23 and 24 apply to those who did not look for work during the past week, per question 22]
23. Reason for not seeking work past week
What did (N) [the respondent] not look for work during past week?
[] 41. Home duties (H.D.)
[] 42. Retired (R.)
[] 43. Disabled (D.)
[] 44. Old age pensioner (O.A.P.)
[] 45. Did not want to work (D.N.W.W.)
[] 46. Discouraged (DISC.)
[] 47. Awaiting Results (A.R.)
[] 48. Knew of no vacancy (K.N.V.)
[] 49. Temporary illness (T. I.)
[] 77. Other (O.)
[] 99. Not stated
When did (N) [the respondent] last look for work?
[] 2. 1-3 months
[] 3. 4-6 months
[] 4. 7-11 months
[] 5. 1 year and over
[] 6. Never looked for work (N.L.W.)
[] 9. Not stated
What type of worker status applies to (N) [the respondent]?
[] 1. State Owned Enterprise (S.O.E.)
[] 2. Central or Local Government (C/L.G.)
[] 3. Private Enterprise (P.E.)
[] 4. Unpaid worker (U.W.)
[] 5. Learner/Apprentice (L/A.)
[] 7. With paid help /Employer (W.P.H.)
[] 9. Not stated
Interviewer: For persons who are ticked for 20 in question 22 classify by where (N) [the respondent] last applied for a job. Those persons ticking 21 or 30 classify by last job held.
26(a). Main kind of occupation/work
What kind of work was (N) [the respondent] doing (job held/ did (N) [the respondent] apply for) during the past week? e.g. secondary school teacher, account clerk, automobile mechanic?
What was (N's) [the respondent's] job title? e.g. teacher II, accounts clerk I, automobile mechanic grade A?
_ _ _ _
What is the name of the business/firm/establishment/ government department in which (N) [the respondent] worked/had a job? e.g. Ministry of Health (St. Ann's Hospital), Pete's Advertising Agency?
What kind of business is carried on there? e.g., psychiatric hospital, creative designs of advertisement for media?
_ _ _ _
28(a). Address of place of work
What is the address of the department or establishment where (N) [the respondent] is working/worked or looked for work?
_ _ _ _
Public
[] 0. Bus (PTSC.)
[] 1. Taxi (T.)
[] 2. Maxi Taxi (M.T.)
Private
[] 3. Private Car/Vehicle (P.C./V.)
[] 4. PH Taxi (PH.T.)
[] 5. Bicycle (B.)
[] 6. Walk (W.)
[] 7. Other (O.)
[] 8. Not applicable (N.A.)
[] 9. Not stated
[Question 29 was asked of those who had a job and worked the past week, per question 22]
29. Hours worked past week
How many hours did (N) [the respondent] work during the past week, including overtime?
[] 02. 1 - 8 hours
[] 03. 9 - 16 hours
[] 04. 17 - 24 hours
[] 05. 25 - 32 hours
[] 06. 33 - 40 hours
[] 07. 41-50 hours
[] 08. 51-60 hours
[] 09. 61-70 hours
[] 10. 71+ hours
[] 99. Not stated
30. What did (N) [the respondent] do most during the past twelve (12) months?
[] 11. Had a job, did not work (H.J.N.W. )
[] 20. Seeking first job (S.F.J.)
[] 21. Others seeking work (O.S.W.)
[] 30. Wanted work and available (W.W.)
[] 40. Student (S.)
[] 41. Home duties (H.D.)
[] 42. Retired (R.)
[] 43. Disabled (D.)
[] 44. Old age pensioner (O.A.P.)
[] 45. Did not want work (D.N.W.W.)
[] 77. Other (O.)
[] 99. Not stated (NOT STATED)
Section 7. Highest level of training - For all persons fifteen (15) years old and over
[] 1. Yes
Interviewer: Probe for on-the-job training, apprenticeship, youth camps, commercial schools, correspondence courses, university, computer, distance learning/adult continuing classes.
[] 1. Completed training (C.T.)
[] 2. Undergoing training (U.T.)
[] 3. Attempted but not completed (A.T.)
[] 7. Don't know (D.K.)
[] 9. Not stated
32. Field of highest level of training
Field________
_ _ _ _ _
33. Main educational method/type of institution of highest level of training
[] 1. On the job (J.)
[] 2. Private study (P.S.)
[] 3. Secondary school (S.S.)
[] 4. Vocational/trade (V./T.)
[] 5. Commercial /secretarial (C./S.)
[] 6. Business/computer science (B./C.S.)
[] 7. Technical institute (T.I.)
[] 8. Other institutional training (O.I.T.)
[] 9. University (U.)
[] 10. Distance learning (D.L.)
[] 77. Other (O.)
[] 99. Not stated
34. Period of training at highest level
[] 0. Under 3 months (MTHS.)
[] 1. 3 [months] (less than) 6 months (MTHS.)
[] 2. 6 months (less than) 1 year (YR.)
[] 3. 1 [year] (less than) 1 1/2 years
[] 4. 1 1/2 [years] (less than) 2 years
[] 5. 2 [years] (less than) 3 [years]
[] 6. 3 [years] (less than) 4 [years]
[] 7. 4 years and over
[] 9. Not stated
[Question 35 was only asked of persons who completed training, per question 31(b)]
35. Qualification/Certification obtained on completion of training
[] 0. None
[] 1. Certification with examination (C.W.E.)
[] 2. Certification without examination (C.N.E.)
[] 3. Diploma (DIP.)
[] 4. Advanced Diploma (A.D.)
[] 5. Associate Degree (A.Dg.)
[] 6. First Degree (F.D.)
[] 7. Post-graduate Degree (P.G.D.)
[] 8. Other (O.)
[] 9. Not stated (NOT STATED)
Section 8. Marital status - For persons 14 years and over
[Question 36 applies only to persons who are 14 years old]
[] 1. Never married (N.M.)
[] 2. Married (M.)
[] 3. Widowed (W.)
[] 4. Legally separated (L.S.)
[] 5. Divorced (D.)
[] 9. Not stated
Section 9. Fertility - For female 14 years old and over
37. Number of live births ever had
_ _
(a) Discreetly probe to include all births ever had that showed some sign of life at birth. Probe respondent for any child, likely to be omitted, who is not a current member of the household.
(b) If none, skip to question Q.39(b)
[Questions 38 and 39(a) were asked of those who had at least one live birth]
38. Age at birth of first live born child
_ _
39. Numbers of live births/still births
39(a). How many live births did (N) [the respondent] have during the past twelve (12) months?
[] 1. One
[] 2. Two
[] 3. Twin (TW)
[] 4. Three and over (3+)
[] 9. Not stated
39(b). How many still births did (N) [the respondent] have during the past twelve (12) months?
[] 1. One
[] 2. Two and over (2+)
[] 9. Not stated
40. Union status at present or at age 45
[] 1. Married (M.)
[] 2. Common-law (C.L.)
[] 3. Visiting (V.)
[] 4. No longer living with husband (N.L.H.)
[] 5. No longer living with common-law partner (N.L.C.P.)
[] 6. Never had a husband nor common-law partner (N.H./P.)
[] 9. Not stated (N.S)
Section 10. Income - For all persons fifteen (15) years old and over
41. Gross income (Nearest T.T. Dollar)
[] 1. Paid employment (P.E.)
[] 2. Self-employment (S.E.)
[] 3. Pension and annuities (P.A.)
[] 4. Other (O.)
_ _ _ _ _ _
_ _
_________
Net income: Receipts less business expenses.
[] 01. Daily
[] 02. Weekly
[] 03. Fortnightly
[] 04. Monthly
[] 05. Quarterly
[] 06. Annually
[] 07. Other (specify) ____
[] 08. None
[] 88. Not applicable
[] 99. Not stated
Note: Multiple entries are possible.
Section 11. Time spent on unpaid household and other activities - For all persons 15 years old and over
42. How many hours did (N) [the respondent] spend on the following activities in the past week?
Section 12. Census night - For all persons
43. Where did (N) [the respondent] spend Census Night?
[] 2. Elsewhere in Trinidad and Tobago (E.T.T.)
[] 3. Institution (INST.)
[] 4. Abroad
[] 7. Other
[] 9. Not stated
Section 14. Crime - Head of household
Where applicable check the appropriate box.
Identification
Enumeration District Number _ _ _ _ _
Building number _ _ _
Dwelling Unit number _ _ _
Household number _ _ _
S.H. _
R _
Household size _ _
Name of head of household ____ Name of respondent ____
44. Has any member of your household been a victim of crime in the period:
January-December 1999?
[] 2. No [Skip to Section 14]
[] 9. Not stated [Skip to Section 14]
[Questions 45 and 46 are asked of household members who were victims of crime between January and December, 1999]
45(a). What was the nature of the crime?
Note: More than one response can be ticked.
[] 2. No
[] 9. Not stated
2. Crime against property
[] 2. No
[] 9. Not stated
[] 2. No
[] 9. Not stated
45(b). Was the crime reported to the police?
Note: More than one response can be ticked.
1. Crime against person
[] 2 No
[] 8 Not applicable
[] 9 Not stated
[] 2 No
[] 8 Not applicable
[] 9 Not stated
[] 2 No
[] 8 Not applicable
[] 9 Not stated
46. Why was the crime not reported to the police?
[] 2 Afraid of perpetrator
[] 3 Not serious enough
[] 7 Other
[] 8 Not applicable
[] 9 Not stated
[] 2 Afraid of perpetrator
[] 3 Not serious enough
[] 7 Other
[] 8 Not applicable
[] 9 Not stated
[] 2 Afraid of perpetrator
[] 3 Not serious enough
[] 7 Other
[] 8 Not applicable
[]9 Not stated
Section 14. Housing and household items - Head of household
Characteristics of occupied building
[] 1. Residential
[] 2. Residential / commercial
[] 3. Residential / professional (office)
[] 4. Commercial
[] 5. Industrial
[] 6. Community service - Private/Government
[] 7. Other
[] 9. Not stated
[] 2. Wood
[] 3. Wood/brick/ concrete
[] 4. Wood/galvanise
[] 5. Wattle/Adobe/Tapia
[] 7. Other
[] 9. Not stated
49. Year when building was built
[] 2. 1999
[] 3. 1998
[] 4. 1997
[] 5. 1996
[] 6. 1990-1995
[] 7. 1989 or earlier
[] 8. Don't know
[] 9. Not stated
Characteristics of the dwelling unit occupied by household
Interviewer: A dwelling unit must have a separate entrance and not be accessed or entered through someone else's living arrangements.
A dwelling unit must have a separate entrance and not be accessed or entered through someone else's living arrangements.
[] 01. Separate house
[] 02. Flat/apartment/cond.
[] 03. Townhouse
[] 04. Double house/duplex
[] 05. Part of commercial/industrial building
[] 06. Barracks
[] 07. Out-room
[] 08. Other private dwelling
[] 09. Group dwelling
[] 10. WAFDA
[] 11. Other
[] 99. Not stated
[] 02. Rented private
[] 03. Rented government
[] 04. Leased private
[] 05. Leased government
[] 06. Rent free
[] 07. Squatted
[] 08. Other
[] 88. Don't know
[] 99. Not stated
[Question 51(b) is applicable only to those individuals who owned their dwelling unit]
[] 01. Owned
[] 02. Rented private
[] 03. Rented government
[] 04. Leased private
[] 05. Leased government
[] 06. Rent free
[] 07. Squatted
[] 08. Other
[] 88. Don't know
[] 99. Not stated
What is the monthly rent paid for this dwelling unit?
TT $ _ _ _ _ _
If you were to rent this dwelling unit unfurnished, how much would it fetch?
TT $ _ _ _ _ _
53. Single or multiple occupancy of dwelling unit
[] 1. Yes [skip to Q. 53(b)]
[] 2. No [Skip to Q. 54]
[] 9. Not stated [kip to Q. 54]
[Question were asked of single or multiple occupancy of dwelling unit]
b. How many other households occupy this dwelling unit with your household?
Number of other households in this dwelling unit
[] 2. 2
[] 3. 3
[] 4. 4 and over
[] 9. Not stated
[] 0
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9. Not stated
[Question 54(b) applies only to heads of households living in dwelling units occupied by more than one household.]
[] 0
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9. Not stated
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8 and more
[] 9. Not stated
[] 1. Public piped into dwelling
[] 2. Public piped into yard
[] 3. Public standpipe
[] 4. Private piped into dwelling
[] 5. Private catchment not piped
[] 6. Truck borne (and not piped into dwelling)
[] 7. Spring/river
[] 8. Other
[] 9. Not stated
57. How often do you obtain water from a public supply?
[] 2. Three (3) or more times weekly
[] 3. Twice weekly
[] 4. Less than twice a week
[] 5. Not at all
[] 7. Other
[] 9. Not stated
[] 1. WC linked to sewer
[] 2. Septic tank / Soakaway
[] 3. Pit / Latrine
[] 4. Other
[] 5. None
[] 9. Not stated
(b) Are these facilities shared with another person not on this household?
[] 2. No
[] 8. Not applicable
[] 9. Not stated
What type of lighting does this household use most?
[] 2 Gas
[] 3 Kerosene
[] 7 Other (specify)
[] 9 Not stated
What type of fuel does this household use most for cooking?
[] 1 Electricity
[] 2 L.P.G./Cooking gas
[] 3 Kerosene
[] 4 Wood/Charcoal
[] 7 Other (specify)
[] 9 Not stated
60. Household facilities available
Does your household have any of the following items?
[] 2. No
[] 9. Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
Television (color/black and white)
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
Weedeater / Bushwacker / Lawn-mower
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
[] 2 No
[] 9 Not stated
Section 15. International migration - Head of Household
In this section we wish to know how many persons have left the country to live abroad since the last Census.
61. Did any member of this household leave to live abroad during the past ten years, i.e. since 1990?
[] 2. No (end of interview)
[] 9. Not stated (end of interview)
[Questions 62-64 were asked of the households that had members who left to live abroad during the last ten years, per question 61]
62. Please give the number of persons by sex and age at the time of leaving.
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
63. How many persons from this household migrated (i.e. went to live in) the following countries?
(Please enter the number males and/or females against the country shown)
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
64. How many of those leaving have since returned to live here permanently?
(Please give the number of persons by sex and age)
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
_ _ Female
General comments of enumerator/supervisor ________
Enumerator's signature __________
Supervisor's signature __________
Specific comments related to individual members of the household __________