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National Statistics Institute


Plurinational State of Bolivia
2012 National Census of Population and Housing

Under Decree Law No. 14100 of the National Statistics Information System, the information provided is confidential

[p. 1]

Chapter A. Geographical location of the dwelling

1.1 Copy the geographical location information that appears on the cover sheet

District _ _ _
City / community _ _
Census tract _ _ _
Sector _ _ _
Segment _ _
Block _ _ _ _

1.2 Address of the dwelling

____ City / community
____ Population hub / locality
____ Neighborhood / tract / N.U.
____ Street, avenue, path, or road
____ Door number
____ Floor
____ Apartment number
____ Building name

If there are more than 8 people, use 2 or more forms:

a) Copy the geographical location information
b) In 2.2, note down 2, 3, etc., as appropriate, and continue with Chapter F.

2.1 Dwelling sequence number _ _

2.2 Census form number in this dwelling _ _ _

3. How many people spent the night before Census Day in this dwelling?

(Don't forget to include children, newborns, and old people)

_ _ _ Total people
_ _ _ Male
_ _ _ Female

Chapter B. Main characteristics of the dwelling

1. Type of dwelling

Mark based on observation.

Private
[] 1 House / hut / pahuichi
[] 2 Apartment
[] 3 Individual room(s)
[] 4 Improvised dwelling
[] 5 Premises not intended as a dwelling
Collective
[] 6 Collective dwelling (Hotels, hospitals, nursing homes, barracks, etc.) [Go to Chapter F]
No dwelling
[] 7 In transit [Go to Chapter F]
[] 8 Person living on the street [Go to Chapter F]

2. The dwelling is...

Mark based on observation.

Occupied dwellings
[] 1 Occupied with people present
[] 2 Occupied with people temporarily absent
Unoccupied dwellings
[] 3 For rent and/or sale
[] 4 Under construction or repair
[] 5 Abandoned
[If 2-5: After confirming with the neighbors that no occupants are present in the dwelling, go on to the next dwelling.]

3. What is the main construction material used in the exterior walls of this dwelling?

[] 1 Brick, concrete blocks, concrete
[] 2 Adobe, rammed earth
[] 3 Tabique, quinche
[] 4 Stone
[] 5 Wood
[] 6 Reed, palm, log
[] 7 Other

4. Do the interior walls of this dwelling have plaster?

[] 1 Yes
[] 2 No

5. What is the main material used in the roofs of this dwelling?

[] 1 Corrugated metal or sheet metal
[] 2 Clay roof tile, cement roof tile, fiber cement
[] 3 Reinforced concrete slab
[] 4 Straw, palm, reed, mud
[] 5 Other

6 What is the main material used in the floors of this dwelling?

[] 1 Soil
[] 2 Wooden board
[] 3 Tongue-and-groove wood
[] 4 Parquet
[] 5 Ceramic
[] 6 Cement
[] 7 Mosaic, floor tile
[] 8 Brick
[] 9 Other

7. Does the water used in this dwelling come primarily from...?

[] 1 Public utility pipes
[] 2 Public wash basin
[] 3 Water truck
[] 4 Well or waterwheel with pump
[] 5 Well or waterwheel with no pump
[] 6 Rainwater, river, spring, stream
[] 7 Lake, pond, wetland

8. Is the water used in this dwelling distributed by...?

[] 1 Pipes within the dwelling
[] 2 Pipes outside the dwelling but on the lot or grounds
[] 3 Pipes outside the dwelling not on the lot or grounds
[] 4 Not distributed through pipes

[The bottom of each page consists of an instructional graphic for writing in and marking the boxes. These graphics have been omitted.]

[p. 2]

9. Does it have a toilet, bathroom, or latrine?

[] 1 Yes, private
[] 2 Yes, shared
[] 3 No, dwelling does not have [Go to question 11]

10. Does the toilet, bathroom, or latrine drain into...?

[] 1 The sewage system
[] 2 A septic tank
[] 3 A cesspit
[] 4 The street
[] 5 The creek or river
[] 6 A lake, pond, or wetland

11. Do they have electricity that comes from...?

[] 1 Electric company grid (public service)
[] 2 Own generator
[] 3 Solar panel
[] 4 Other
[] 5 None

12. What is the main fuel or power used for cooking?

[] 1 Household gas (through pipes)
[] 2 Bottled gas
[] 3 Electricity
[] 4 Solar energy
[] 5 Wood
[] 6 Guano, dung, or manure
[] 7 Other
[] 8 No cooking

13. Is there a dedicated room for cooking?

[] 1 Yes
[] 2 No

14. How many rooms does your household occupy, not counting bathrooms or kitchens? _ _

15. Of the total number of rooms, how many are used only for sleeping? _ _

16. What is the main way you dispose of trash?

[] 1 Deposit it in the public trashcan or dumpster
[] 2 Use the public trash collection service (garbage truck)
[] 3 Throw it into a vacant lot or the street
[] 4 Throw it in a river
[] 5 Burn it
[] 6 Bury it
[] 7 Other

17. Does this home have...

A radio?
[] 1 Yes
[] 2 No

A television?
[] 1 Yes
[] 2 No

A computer?
[] 1 Yes
[] 2 No

Internet service?
[] 1 Yes
[] 2 No

Fixed or cellular phone service?
[] 1 Yes
[] 2 No

18. Does this home have...

A motor vehicle?
[] 1 Yes
[] 2 No

A bicycle?
[] 1 Yes
[] 2 No

A motorcycle or all-terrain vehicle?
[] 1 Yes
[] 2 No

A wagon or cart?
[] 1 Yes
[] 2 No

A speedboat, raft, canoe, or small boat?
[] 1 Yes
[] 2 No

19. Is the dwelling that this household occupies...?

[] 1 Owned
[] 2 Rented
[] 3 Under a contract of antichresis
[] 4 Under a contract of antichresis and rent
[] 5 Granted in exchange for services
[] 6 Lent by relatives or friends
[] 7 Other

Chapter C. International emigration

20. Is there anyone who lived with you in this home in 2001 or later who now lives in another country?

[] 1 Yes
How many people? _ _
[] 2 No [Go to question 21]

In the table below, record the information for each of the people who now live in another country.
Number _
The person is:

[] 1 Female
[] 2 Male

Year of departure _ _ _ _
Age at departure _ _ _
Country where person now lives ____

[p. 3]

Chapter D. Mortality

21. From January to December of last year, did anyone who lived with you in this home die?

[] 1 Yes
How many people? _ _
[] 2 No [Go to question 22]

In the table below, record the information for each of the people who died. Don't forget children, newborns, and old people.
Number _
Age at death (Write 0 if under 1 year old) _ _ _
The person was:

[] 1 Female
[] 2 Male

If it was a woman at least 15 years old, did she die of causes related to...

[] 1 Pregnancy
[] 2 Childbirth
[] 3 Postpartum (up to 2 months after childbirth)
[] 4 Other cause

Chapter E. People with a permanent difficulty

22. Does anyone in this household have a permanent difficulty with any of the following?

Seeing, even if they use glasses or contact lenses
Hearing, even if they use a hearing aid?
Speaking, communicating, or conversing?
Walking or climbing stairs?
[] 1 Yes
[] 2 No [Go to question 23]

In the table below, record the information for each person with a permanent difficulty.
Number _
Person's name ____
Age _ _ _
The person is:

[] 1 Female
[] 2 Male

The permanent difficulty is with...

[] 1 Seeing, even with glasses or contacts
[] 2 Hearing, even with a hearing aid
[] 3 Speech, communicating, or conversing
[] 4 Walking or climbing stairs
[] 5 Remembering or concentrating

[p. 4]

Chapter F. The person's main characteristics

Person number _ _ _ _
Person's name ____

F1. For all people

23. What is your familial or other relationship with the head of household?

[] 1 Head of household
[] 2 Spouse, domestic partner, or cohabiting partner
[] 3 Daughter or son
[] 4 Daughter-in-law or son-in-law
[] 5 Granddaughter or grandson
[] 6 Sibling, brother-in-law, or sister-in-law
[] 7 Parent, mother-in-law, or father-in-law
[] 8 Other relative
[] 9 Domestic worker
[] 10 Other nonrelative
[] 11 Person in a collective dwelling

24. Are you female or male?

[] 1 Female
[] 2 Male

25. How old were you on your last birthday? _ _ _ [If under age 1, write 0]

26. Was your birth recorded in the civil registry or office of vital records?

[] 1 Yes
[] 2 No

27. Do you have a national identity card or document?

[] 1 Yes
[] 2 No

28. When you have health problems, do you rely on...

A public health fund (CNS, COSSMIL, etc.)?
[] 1 Yes
[] 2 No

Private health insurance?
[] 1 Yes
[] 2 No

A public health facility?
[] 1 Yes
[] 2 No

A private health facility?
[] 1 Yes
[] 2 No

Traditional healer?
[] 1 Yes
[] 2 No

Home remedies?
[] 1 Yes
[] 2 No

The pharmacy or self-medication?
[] 1 Yes
[] 2 No
29. If you are Bolivian, are you part of an Afro-Bolivian or original peasant indigenous nation or people?

[] 1 Yes
Which nation or people? ____
[Census taker: Do not read the response options]
Afroboliviano, Araona, Aymara, Ayoreo, Baure, Canichana, Cavineño, Cayubaba, Chácobo, Chipaya, Chiquitano, Esse Ejja, Guaraní, Guarasugwe, Guarayo, Itonama, Joaquiniano, Kallawaya, Leco, Machinerí, Maropa, Mojeño, Moré, Mosetén, Movima, Murato, Pacahuara, Quechua, Sirionó, Tacana, Tapiete, Tsimane/Chiman, Urus, Weenayek, Yaminagua, Yampara, Yuki, Yuracaré, Yuracaré - Mojeño
[] 2 Does not belong to any
[] 3 I am not Bolivian

30. What is the first language you learned to speak as a child?

1. ____
[] 2 Does not speak [Go to question 32]

31. What language do you speak?

(Write in order of importance)

1 ____
2 ____
3 ____
4 ____
5 ____

32. Where were you born?

[] 1 Here [Go to question 33]
[] 2 Elsewhere in this country
____ City or community
____ Municipality
____ Department
[] 3 Abroad
Name of country ____
Year of arrival in Bolivia _ _ _ _

33. Where do you usually live?

[] 1 Here [Go to question 34]
[] 2 Elsewhere in this country
____ City or community
____ Municipality
____ Department
[] 3 Abroad
Name of country ____

34. Where did you leave 5 years ago?

[] 1 Here [Go to question 35]
[] 2 Elsewhere in this country
____ City or community
____ Municipality
____ Department
[] 3 Abroad
Country name ____
[] 4 Had not been born yet

F2. Only for people at least 4 years old

35. Can you read and write?

[] 1 Yes
[] 2 No

[p. 5]

36. Do you currently attend a school?

[] 1 Yes, a public school
[] 2 Yes, a private school
[] 3 Yes, a charter school
[] 4 Not attending school

37. What was the highest educational level that you passed? [If 1-14, go to question 39]

[] 1 None
Grade _
[] 2 Literacy course
Grade _
[] 3 Initial (Pre-K, kindergarten)
Grade _
Old system
[] 4 Basic (1 to 5 years)
Grade _
[] 5 Intermediate (1 to 3 years)
Grade _
[] 6 Middle (1 to 4 years)
Grade _
Previous system
[] 7 Primary (1 to 8 years)
Grade _
[] 8 Secondary (1 to 4 years)
Grade _
Current system
[] 9 Primary (1 to 6 years)
Grade _
[] 10 Secondary (1 to 6 years)
Grade _
University
[] 11 Technical university education
Grade _
[] 12 Undergraduate program
Grade _
[] 13 Master's program
Grade _
[] 14 Doctoral program
Grade _
Non-university institution
[] 15 Teacher's College
Grade _
[] 16 Military or Police Academy
Grade _
[] 17 Technical Institute
Grade _
[] 18 Other
Grade _

38. To access that level, what level and year of schooling did you pass?

Old system
[] 4 Basic (1 to 5 years)
Grade _
[] 5 Intermediate (1 to 3 years)
Grade _
[] 6 Middle (1 to 4 years)
Grade _
Previous system
[] 7 Primary (1 to 8 years)
Grade _
[] 8 Secondary (1 to 4 years)
Grade _
Current system
[] 9 Primary (1 to 6 years)
Grade _
[] 10 Secondary (1 to 6 years)
Grade _

F3. Only for people at least 7 years old

39. Did you work in the last week?

[] 1 Yes [Go to question 42]
[] 2 No

40. In the last week, did you...?

[] 1 Have work but did not work because you were on leave, on vacation, sick, or lacked materials [Go to question 42]
[] 2 Serve or assist in agricultural growing or in raising livestock [Go to question 42]
[] 3 Serve or assist in a family business or your own business [Go to question 42]
[] 4 Perform any activity for income [Go to question 42]
[] 5 Not work

41. During the past week, were you... ?

[] 1 Seeking work, having worked before [Go to question 45]
[] 2 Seeking work for the first time [Go to question 45]
[] 3 A student [Go to question 45]
[] 4 A homemaker [Go to question 45]
[] 5 Retired, a pensioner, or an annuitant [Go to question 45]
[] 6 Other [Go to question 45]

42. What was your principal occupation, job, or trade in the last week? ____

(For example, write: mine driller, auto mechanic, grocer, primary school teacher, call-shop operator, etc.)

43. In that occupation, did you work as...?

[] 1 A laborer or employee
[] 2 A freelance worker
[] 3 An employer or partner
[] 4 An unpaid apprentice or family worker
[] 5 A domestic worker
[] 6 A member of a production / service co-op

44. What is the principal thing produced or sold by the place you work, or what is its principal economic activity? ____

(For example, write: tin mine, manufacture of shoes, ministry of health, poultry farm, growing of potatoes, retail sales in a neighborhood store, etc.)

F4. Only for people at least 15 years old

45. What is your civil or marital status?

[] 1 Single
[] 2 Married
[] 3 Domestic partner or cohabiting partner
[] 4 Separated
[] 5 Divorced
[] 6 Widowed

F5. Only for women at least 15 years old

46. In total, how many live births have you had, including children who are now dead or absent?

Number _ _ [If none, mark 0 and go on to the next person]

47. Of the live births, how many of your children are now alive?

Number _ _

48. In what month and year was your most recent live birth?

Month _ _
Year _ _ _ _

49a. Is this latest child still alive?

[] 1 Yes
[] 2 No

49b. Where did your most recent childbirth occur?

[] 1 At a health-care facility
[] 2 In a home
[] 3 Somewhere else

[p. 6]

General instructions for filling out the census form
To fill out the census form, bear in mind these instructions:

When the multiple-choice options are not followed by a question mark:
Ask the question, wait for the answer, and fill in the appropriate circle based on the information obtained.
[Figure omitted]

When the multiple-choice options are followed by a question mark:
Ask the question and read the multiple-choice options slowly until you obtain a positive response; then fill in the appropriate circle or bubble based on the information obtained.
[Figure omitted]

If the question has an arrow or bracket after one or more multiple-choice options:
This tells you which question or chapter of the census form you should go to next.
[Figure omitted]

Open-ended questions:
Open-ended questions have no preset answer. The answer should be written in capital block letters. Each box corresponds to one letter. For example: Juana states that she is a retail merchant and that this is her main occupation.
[Figure omitted]

Writing:
All information requested on the census form should be written in black pencil. When filling in circles or bubbles or writing numbers and letters into the individual boxes, mark and write clearly, being careful about spelling, and use capital letters, as shown in the figures below.
[Figure omitted]

Boxes for writing numbers:
Answering these questions requires writing quantities in numerical format. If the answer is only one or two digits long, the first boxes should not be left blank. One number must be written in each box. Never write two numbers in the same box.
[Figure omitted]