Presidency of the Republic's Planning Secretariat
Brazilian Institute of Geography and Statistics
X Brazilian General Census 1991
Demographic Census
Enumeration Form
Group 1 [Household Location and Identification]
For internal use
[Applies to question 2 -3]
Household Residents
[Applies to questions 11 - 12]
11. Males
12. Females
14. Supplemental questionnaire
[] have
[] this is it
1. Class [of dwelling]
[] 1 permanent
[] 2 improvised
[] 3 collective
The following questions are only for permanent private households
2. Type [of dwelling]
[] 1 separate or in housing community
[] 2 housing project
[] 3 in subnormal agglomerate
Apartment:
[] 4 separate or in housing community
[] 5 housing project
[] 6 in subnormal agglomerate
3. Walls
[] 2 close-fitting wood
[] 3 uncoated lathe and plaster
[] 4 found material
[] 5 straw
[] 6 other
4. Roof
[] 2 clay tiles
[] 3 cement- asbestos tiles
[] 4 zinc
[] 5 close-fitting wood
[] 6 straw
[] 7 found material
[] 8 other
5. Water supply
[] 1 general system
[] 2 well or spring
[] 3 other form
With exterior plumbing:
[] 4 general system
[] 5 well or spring
[] 6 other form
Sanitation installation
[Applies to question 6 - 7]
6. Drainage?
Cesspit:
[] 2 connected to river system
[] 3 without drainage
[] 4 rudimentary cesspit
[] 5 primary sewage system
[] 6 other
[] 7 don't know
[] 0 don't have
7. Sanitation: Use [of toilet facilities]
[] 2 common to more than 1 [household]
[] 0 don't have
8. Condition of ownership
[] 1 building and land
[] 2 building
[] 3 rented
Ceded by:
[] 4 employer
[] 5 private
[] 6 other
9. Monthly rent (in Cr$=cruzeiros)
_ _ _ _ _ _ Cr$
10. Fuel used for cooking
[] 2 only bottled gas
[] 3 only wood
[] 4 bottled gas and wood
[] 5 charcoal
[] 6 other
[] 0 neither stove nor hearth
11. Total number of rooms (when number less than 10 put 0 in first field)
12. Rooms used as bedroom
[] 2 2 rooms
[] 3 3 rooms
[] 4 4 rooms
[] 5 5 rooms
[] 6 6 rooms
[] 7 7 rooms
[] 8 8 rooms
[] 9 9 rooms or more
13. Bathrooms
[] 2 2 bathrooms
[] 3 3 bathrooms
[] 4 4 bathrooms
[] 5 5 bathrooms or more
[] 0 don't have
14. Waste disposal
[] 1 directly
[] 2 indirectly
[] 3 burned
[] 4 buried
Thrown:
[] 5 vacant lots
[] 6 river, lake, ocean
[] 7 other
15. Do Children under 2 years, including any newborns, live in this household?
[] 2 no
16. Water Filter
[] 2 don't have
17. Telephone
[] 2 2 or more lines
[] 0 don't have
18. Private Automobile
[] 2 2 cars
[] 3 3 or more cars
[] 0 don't have
19. Automobile for work
[] 2 ceded
[] 0 don't have
20. Radio
[] 0 don't have
21. Lighting
[] 1 with meter
[] 2 without meter
[] 3 oil or kerosene
[] 4 other
The following questions are to be filled out for those with electricity
[Applies to questions 22 - 27]
22. Refrigerator
[] 2 more than one door
[] 0 don't have
23. Black and White Television
[] 0 don't have
24. Color Television
[] 2 2 televisions
[] 3 3 televisions
[] 0 don't have
25. Freezer
[] 0 don't have
26. Washing Machine
[] 0 don't have
27. Vacuum Cleaner
[] 0 don't have
3. [Individual Characteristics]
2. Family relationship or relationship with head of dwelling
[] 2 spouse
[] 3 child
[] 4 stepchild
[] 5 father or mother
[] 6 mother or father in law
[] 7 grandparent/great grandparent
[] 8 grandchild
[] 9 daughter- or son-in-law
[] 10 brother or sister
[] 11 sister- or brother-in-law
[] 12 other relative
[] 13 person who has permanent residence in the domicile, without being a relative, boarder or employee (agregado)
[] 14 boarder
[] 15 domestic servant
3. Family relationship or relationship with head of household
[] 2 spouse
[] 3 child
[] 4 stepchild
[] 5 father or mother
[] 6 mother or father in law
[] 7 grandparent/great grandparent
[] 8 grandchild
[] 9 daughter- or son-in-law
[] 10 brother or sister
[] 11 sister- or brother-in-law
[] 12 other relative
[] 13 person who has permanent residence in the domicile, without being a relative, boarder or employee (agregado)
[] 14 boarder
[] 15 domestic servant
4. Belong to which family
[] 2 collective dwelling
Multiple families:
[] 1 1st
[] 2 2nd
[] 3 3rd
[] 4 4th
[] 5 5th
5. If the mother resides in the household, indicate the order number in which she was enumerated. If she doesn't live in the household, indicate if she is alive, dead or unknown.
_ _ person number
Doesn't reside:
[] 70 alive
[] 80 dead
[] 90 don't know
6. Month and year birth (do not register the day)
_ _ Year
7. Presumed age (If don't know the month and/or year of birth, indicate number of years thought to have; if less than one year, indicate number of months
_ _ 400 Less than 1 year
[] 2 five to nine years
[] 3 ten years or more
9. Color
[] 2 black
[] 3 yellow
[] 4 mixed (parda)
[] 5 indigenous
11. Physical or mental handicap
[] 2 deaf
[] 3 paralysis on one or both sides
[] 4 paralysis of the legs
[] 5 total paralysis
[] 6 missing extremities or parts thereof
[] 7 mental deficiency
[] 8 more than one
[] 0 none listed
12. In this municipality, lived
[] 2 only in rural zone
[] 3 both rural and urban zone
13. If in question 12, box 3 was selected, indicate how many years ago the last move was made.
[] 98 never moved
14. Born in this municipality (if box 1, skip to question 23. If 2, skip to question 17. If 3, respond the following questions.
[] 2 yes, but have already lived in another
[] 3 no
[Questions 15-18 only for people who responded number three on question 14]
15. If naturalized or foreign resident, indicate the year that established residency in country
_ _ 2 naturalized Brazilian
_ _ 3 foreigner
16. State or foreign country of birth
17/18. Number of years lived without interruption
_ _ number of years in municipality
For persons who in questions 17/18 responded less than 10 years, in the space "number of years in municipality"
[Applies to questions 19 - 22]
19. Indicate the state abbreviation and the name of the municipality or of the foreign country in which resided before moving to this municipality
____ name
20. In the locality indicated in question 19, resided in:
[] 2 rural zone
The following questions are only to be filled out for persons 5 years or older (born before 01 September 1985)
[Applies to questions 21 - 22]
21. Indicate the state abbreviation and the name of the municipality or of the foreign country in which resided on 01 September 1985 (if lived in current municipality, mark box 7 "this one")
____ name
22. In the locality indicated in question 21, before moving, resided in:
[] 2 rural zone
23. Knows how to read and write
[] 2 doesn't know
For persons attending school (if not attending, mark the 0 boxes)
[Applies to questions 24 - 26]
24. Grade attending (for person who is attending adult literacy courses, masters or doctorate, mark 0 "none")
[] 2 2nd grade
[] 3 3rd grade
[] 4 4th grade
[] 5 5th grade
[] 6 6th grade
[] 7 7th grade
[] 8 8th grade
[] 0 none
25. Level of the grade attending
[] 2 middle/junior school
[] 3 higher
Supplemental general education:
[] 4 1st level
[] 7 2nd level
[] 0 none
26. For the person who is attending non-graded courses (if attending graded course, mark the 0 box)
[] 2 adult literacy course
Supplemental:
[] 3 1st level
[] 4 2nd level
[] 5 college entrance exam
[] 6 masters or doctorate
[] 0 none
For persons not attending school. (If attending school or never attended school, mark the 0 boxes)
[Applies to questions 27 - 28]
27. Last grade passed (for the person who passed adult literacy courses, masters or doctorate, mark 0 "none")
[] 2 2nd grade
[] 3 3rd grade
[] 4 4th grade
[] 5 5th grade
[] 6 6th grade
[] 7 7th grade
[] 8 8th grade
[] 9 never attended
[] 0 none
28. Last level passed
[] 2 primary or elementary
[] 3 middle/junior school
[] 4 1st level
[] 5 2nd level
[] 6 senior high or middle school
[] 7 higher
[] 8 masters or doctorate
[] 0 none
The following questions are to be filled out only for the person 10 years or older (born before 01 September 1980)
[Applies to questions 29 - 61]
29. Type of the highest course passed
30. Do you live or have you lived in the company of a spouse, common-law husband or wife, etc.? (If responded 2, skip to question 35 or 45, depending on what applies.)
[] 2 no
[Questions 31 to 34 were asked of those who live or have lived in the company of a spouse, common-law husband or wife, etc.]
31. If answer to question 30 was 1, indicate the month and year entered into first union
_ _ year
[] 13 don't remember
32. If live with partner - spouse, companion, etc., indicate the nature of the relationship
[] 2 only civil marriage
[] 3 only religious marriage
[] 4 consensual union
33. If not living with partner - spouse, companion, etc., indicate if it is:
[] 6 separated
[] 7 abandoned (desquitado)
[] 8 divorced
[] 9 widowed
34. If responded to question 32 indicate the month and year the current union began. If responded to question 33, indicate the month or year that indicated situation began.
_ _ year
[] 13 don't remember
Questions 35 - 44 are to be answered by women (if had children of only one gender, mark 00 in the box corresponding the other gender)
35/36. Children that live in this household
[] male
[] female
37/38. Children that live in other household
[] 8 don't know
[] male
[] female
39/40. Children that were born alive that are now dead (don't include children born dead)
[] 8 don't know
[] male
[] female
41/42. Children that were born dead (gestation time no less than 7 months with no sign of life at birth). Do not include abortions.
_ _ / _ _ 1 male (month/year)
_ _ / _ _ 2 female (month/year)
43/44. Sex, month and year of birth of last live birth
male
_ _ month and _ _ _ _ year
female
_ _ month and _ _ _ _ year
45. Worked all or part of the last 12 months (1 September 1989 to 31 August 1990). If 3 (didn't work), skip to question 58.
[] 1 regularly
[] 2 sporadically
[] 3 didn't work
46. Occupation, profession, task, function, etc., that was exercised for the longest time. (If changed occupations definitively note current occupation)
47. Sector or area activity of establishment, business, institution, etc., where exercised occupation in question 46.
48. Type of establishment, organization, institution, etc., where exercised occupation in question 46
49. Position in the establishment, organization, institution, etc. declared in question 31
Share cropper:
[] 2 employed
[] 3 self-employed
Domestic worker:
[] 4 employed
[] 5 self-employed
[] 6 employed in private sector
Employed in Public Sector:
[] 7 public servant
[] 8 state employee
[] 9 self-employed
[] 10 employer
[] 11 without remuneration
50. Have signed workers' card
[] 2 don't know
[] 3 don't have
[] 4 not employed
51. Number of people that work in the establishment declared in question 48
[] 1 1 or 2
[] 2 3 or 4
[] 3 5 to 9
[] 4 10 or more
[] 5 work alone
[] 6 with partner or not remunerated
[] 7 domestic worker
[] 8 don't know
52. Locale of work in the occupation declared in question 46
[] 1 without specific locale
[] 2 with specific locale
Public roadways:
[] 3 with heavy equipment
[] 4 with light equipment or no equipment
[] 5 agricultural/fisheries
[] 6 business or firm
[] 7 in the home of client or boss
[] 8 other
53. Is contributor to social security (Previdenica Publica)
[] 2 don't know
[] 3 not a contributor
54/55. Hours usually worked per week (when only worked in one occupation write in 00 in spot for other occupations)
[] other occupations
56. Monthly gross income in August 1990 received in money in the occupation declared in question 46
_ Number of digits
_ _ _ _ _ _ .00 Cr$
57. Monthly gross income in August 1990 received in money in other occupations
_ Number of digits
_ _ _ _ _ _ .00 Cr$
58. If in question 45, responded "don't work", indicate the situation or occupation currently in, following the enumerated order. If "worked", skip to question 59.
[] 1 have worked
[] 2 never worked
[] 3 retired
[] 4 pensioner
[] 5 live on rent
[] 6 prisoner
[] 7 student
[] 8 sick or invalid
[] 9 homemaker
[] 0 no occupation
59. Indicate if person is retired and/or pensioner
[] 1 retired
[] 2 pensioner
[] 3 pensioner and retired
60. Gross monthly income for the month of August 1990, resulting from retirement and/or pension.
_ _ _ _ _ _ Cr$
61. Gross monthly income for the month of August 1990, or monthly average of other sources of income that don't fall into any of the abovementioned categories, such as rents, leases, donations, capital earnings, etc.
_ _ _ _ _ _ Cr$