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Bangladesh Bureau of Statistics
Population and Housing Census 1991
Household and Personal Questions
Form-01/Pc-91
Confidential

1. Address ____

a. Floating people? ____
b. Is this household part of previous household? ____

2. Household number: ____


3. Household type:

[] 1. General
[] 2. Institutional
[] 3. Other


Main dwelling of the household:


4. Material of the wall:

[] 1. Straw/Bamboo
[] 2. Mud/Raw brick
[] 3. Tin
[] 4. Wood
[] 5. Cement/brick



5. Material of the roof:

[] 1. Straw/Bamboo/Polythene
[] 2. Tally/tin
[] 3. Cement



6. Ownership of house:

[] 1. Own
[] 2. Rented
[] 3. Rent-free



7. Source of drinking water

[] 1. Tap
[] 2. Tube well
[] 3. Well
[] 4. Pond
[] 5. River/Canal



8. Toilet facilities

[] 1. Sanitary
[] 2. Others
[] 3. None



9. Electricity connection

[] 1. Yes
[] 2. No



10. Own agricultural land

[] 1. Yes
[] 2. No



11. Main source of income of household (last year)

[] 1. Own agricultural land
[] 2. Livestock
[] 3. Forestry
[] 4. Fisherman
[] 5. Fishery
[] 6. Agricultural labor
[] 7. Non-agricultural labor
[] 8. Handloom
[] 9. Industry
[] 10. Business
[] 11. Hawker
[] 12. Trans. Non-Mech
[] 13. Trans. Mechanical
[] 14. Construction
[] 15. Religious
[] 16. Service
[] 17. Rent/remittance
[] 18. Other service
[] 19. Others



12. Is this a tribal household?

[] 1. Yes
[] 2. No


13. Name of those who were here at Census night ____


14. Age (In complete years) ____


15. Relationship to the head of the household

[] 1. Household head
[] 2. Wife/Husband
[] 3. Children
[] 4. Others



16. Sex

[] 1. Male
[] 2. Female



17. Marital status

[] 1. Never married
[] 2. Married
[] 3. Widowed
[] 4. Divorced/Separated



18. Religion

[] 1. Islam
[] 2. Hindu
[] 3. Buddhist
[] 4. Christian
[] 5. Other



19. Highest class passed

[] 0. Illiterate
[] 1. Class I
[] 2. Class II
[] 3. Class III
[] 4. Class IV
[] 5. Class V
[] 6. Class VI
[] 7. Class VII
[] 8. Class VIII
[] 9. Class IX
[] 10. Ssc/Dakhil
[] 11. Training
[] 12. Hsc/Alim
[] 13. Diploma
[] 14. Graduate/Fazil
[] 15. Honors
[] 16. Master/Kamil
[] 17. Ms/Phd



20. Field of education

[] 1. General
[] 2. Vocational
[] 3. Technical
[] 4. Religious



21. Attending educational institute?

[] 1. Yes
[] 2. No



22. Can write a letter?

[] 1. Yes
[] 2. No



23. Main profession/work (last one month)

[] 1. Not working
[] 2. Looking for work
[] 3. Household work
[] 4. Agriculture
[] 5. Industry
[] 6. Water/Electricity/Gas
[] 7. Construction
[] 8. Transport/Communication
[] 9. Business
[] 10. Service
[] 11. Others



24. Work status:

[] 1. Employer
[] 2. Employee
[] 3. Self-employed
[] 4. Family worker
[] 5. Laborer



25. Nationality

[] 1. Bangladeshi
[] 2. Foreigner