Federal Department of Home Affairs FDHA
Federal Statistical Office FSO
Structural Survey of the Federal Population Census 2011
[p. 1]
Online questionnaires at: www.ecensus.swiss
User name eCensus: 12345678
Password eCensus: abcdefgh
Reference day: 31 December 2011
Questionnaire number: 1234567
Germ
Hans Muster
Musterstrasse 99
Postfach
3000 Musterberg
Date of birth: 00.00.1900
AHV No.: 756.0000.0000.00
Were the name, address, date of birth and AHV number correct?
[] 1 Yes
[] 2 No (Please enter only the incorrect details):
[] 2 No (Please enter only the incorrect details):
First name: ____
Family name: ____
Street: ____
No.: _ _ _ _
PC: _ _ _ _
Town: ____
Date of birth: _ _. _ _. _ _ _ _ (dd.mm.yyyy)
AHV_Nr.: 756. _ _ _ _. _ _ _ _. _ _
Family name: ____
Street: ____
No.: _ _ _ _
PC: _ _ _ _
Town: ____
Date of birth: _ _. _ _. _ _ _ _ (dd.mm.yyyy)
AHV_Nr.: 756. _ _ _ _. _ _ _ _. _ _
Please use a black or blue ball-point pen and write in block capitals. Example: [Write letters within a text box]
Where you have a choice of answers, please put a cross in the appropriate field(s). Example: [X]
Please enter figures precisely in the boxes and align to the right. Example: [][1][2][3]
Make corrections as follows
[Example omitted]
(Black-out wrong box and put a cross in the correct box)
If a question does not apply to you, please leave the response boxes and fields blank and do not cross them out.
Hotline: 0800 99 77 00
Has anyone else in your household also been asked to participate in the Structural Survey 2011?
[] 1 No
[] 2 Yes
[] 2 Yes
(If yes, only one set of questionnaires must be completed. This must be done by the person whose birthday is the first in the year. Note: Before disposing of the questionnaire or letter, please enter the questionnaire number for that person?s questionnaire here.
Your questionnaire number: 1234567
The number(s) of the other questionnaire(s): _ _ _ _ _ _ _; _ _ _ _ _ _ _
Your questionnaire number: 1234567
The number(s) of the other questionnaire(s): _ _ _ _ _ _ _; _ _ _ _ _ _ _
Telephone numbers at which we can contact you with any enquiries: (Format: 0791234567)
_ _ _ _ _ _ _ _ _ _ home
_ _ _ _ _ _ _ _ _ _ work_ _ _ _ _ _ _ _ _ _ mobile
1. What is your main language, i.e. the language you think in and know best?
If you think in more than one language in which you are fluent, please specify them below.
[] 1 German (or Swiss German)
[] 2 French (or Swiss French patois)
[] 3 Italian (or Ticino or Grisons Italian dialect)
[] 4 Rhaeto-Romansch
[] 5 Serbian / Croatian
[] 6 Albanian
[] 7 Portuguese
[] 8 Spanish
[] 9 English
[] 10 Other(s), please specify: ____
[] 1 German (or Swiss German)
[] 2 French (or Swiss French patois)
[] 3 Italian (or Ticino or Grisons Italian dialect)
[] 4 Rhaeto-Romansch
[] 5 Serbian / Croatian
[] 6 Albanian
[] 7 Portuguese
[] 8 Spanish
[] 9 English
[] 10 Other(s), please specify: ____
2. What language(s) do you habitually speak at home/ with your family?
More than one answer is possible.
[] 1 Swiss German dialect
[] 2 High German
[] 3 French (or Swiss French patois)
[] 4 Ticino or Grisons Italian dialect
[] 5 Italian
[] 6 Rhaeto-Romansch
[] 7 Serbian / Croatian
[] 8 Albanian
[] 9 Portuguese
[] 10 Spanish
[] 11 English
[] 12 Other language(s)
[] 1 Swiss German dialect
[] 2 High German
[] 3 French (or Swiss French patois)
[] 4 Ticino or Grisons Italian dialect
[] 5 Italian
[] 6 Rhaeto-Romansch
[] 7 Serbian / Croatian
[] 8 Albanian
[] 9 Portuguese
[] 10 Spanish
[] 11 English
[] 12 Other language(s)
3. What language(s) do you habitually speak at work / at your educational establishment?
More than one answer is possible.
At work: include the languages you speak during work breaks. School pupils and students should not list the individual languages they are studying, but the language(s) they use during regular teaching sessions and during breaks.
[] 1 Swiss German dialect
[] 2 High German
[] 3 French (or Swiss French patois)
[] 4 Ticino or Grisons Italian dialect
[] 5 Italian
[] 6 Rhaeto-Romansch
[] 7 Serbian / Croatian
[] 8 Albanian
[] 9 Portuguese
[] 10 Spanish
[] 11 English
[] 12 Other language(s)
At work: include the languages you speak during work breaks. School pupils and students should not list the individual languages they are studying, but the language(s) they use during regular teaching sessions and during breaks.
[] 1 Swiss German dialect
[] 2 High German
[] 3 French (or Swiss French patois)
[] 4 Ticino or Grisons Italian dialect
[] 5 Italian
[] 6 Rhaeto-Romansch
[] 7 Serbian / Croatian
[] 8 Albanian
[] 9 Portuguese
[] 10 Spanish
[] 11 English
[] 12 Other language(s)
[p. 2]
4. To what church or religious community do you belong?
[] 1 Roman Catholic
[] 2 Christian Catholic (Old Catholic)
[] 3 Protestant Reformed
[] 4 None
[] 5 Evangelical (Free Church)
[] 6 Orthodox Christian
[] 7 Other Christian church or community
[] 8 Jewish
[] 9 Muslim
[] 10 Buddhist
[] 11 Hindu
[] 12 Other religious community
[If 5-7, or 9-12 is chosen,] please specify which religious community: ____
[] 2 Christian Catholic (Old Catholic)
[] 3 Protestant Reformed
[] 4 None
[] 5 Evangelical (Free Church)
[] 6 Orthodox Christian
[] 7 Other Christian church or community
[] 8 Jewish
[] 9 Muslim
[] 10 Buddhist
[] 11 Hindu
[] 12 Other religious community
[If 5-7, or 9-12 is chosen,] please specify which religious community: ____
5. Have you lived in a country other than Switzerland for at least one year without interruption?
[] 1 No
[] 2 Yes
[] 2 Yes
[If yes,] in which year did you return to Switzerland for the last time? _ _ _ _ (year)
6. Where were your parents born?
a) Your mother
[] 1 In Switzerland
[] 2 Abroad
[] 3 Unknown
[] 2 Abroad
[] 3 Unknown
b) Your father
[] 1 In Switzerland
[] 2 Abroad
[] 3 Unknown
[] 2 Abroad
[] 3 Unknown
7. Please note. Answer questions a) and b) only if you have Swiss nationality.
a) Have you had Swiss nationality from birth?
[] 1 Yes
[] 2 No
[] 2 No
[If no,] since when do you have the Swiss nationality? _ _ _ _ (year)
b) Do you currently have an additional nationality?
[] 1 No
[] 2 Yes
[] 2 Yes
[If yes,] of which country? (Only one answer)
[] 2.01 Italy
[] 2.02 France
[] 2.03 Germany
[] 2.04 Austria
[] 2.05 Spain
[] 2.06 Portugal
[] 2.07 Netherlands
[] 2.08 United Kingdom
[] 2.09 Turkey
[] 2.10 Serbia
[] 2.11 Bosnia and Herzegovina
[] 2.12 Croatia
[] 2.13 North Macedonia
[] 2.14 Kosovo
[] 2.15 Sri Lanka
[] 2.16 Other: ____
[] 2.01 Italy
[] 2.02 France
[] 2.03 Germany
[] 2.04 Austria
[] 2.05 Spain
[] 2.06 Portugal
[] 2.07 Netherlands
[] 2.08 United Kingdom
[] 2.09 Turkey
[] 2.10 Serbia
[] 2.11 Bosnia and Herzegovina
[] 2.12 Croatia
[] 2.13 North Macedonia
[] 2.14 Kosovo
[] 2.15 Sri Lanka
[] 2.16 Other: ____
8. Indicate the highest level of education/training you have completed in column a)
a) Highest level of education/training completed
[] 1 None
[] 2 Compulsory education attended but not completed
[] 3 Compulsory education
[] 4 1-year education and training course/bridging course
[] 5 Upper-secondary specialised school
[] 6 Apprenticeship in enterprise (VET) / basic vocational training / vocational school / commercial school
[] 7 Academic baccalaureate / teacher training certificate
[] 8 Vocational baccalaureate / specialised baccalaureate
[] 9 Federal PET examination with federal PET diploma / higher vocational examination with federal diploma / Master certificate
[] 10 College of higher vocational education and training
[] 11 Bachelor's degree: university, ETH/EPF, university of applied sciences, university of teacher education (including diploma from university of applied sciences / university of teacher education)
[] 12 Master's degree: university, ETH/EPF, university of applied sciences, university of teacher education (including licentiate, university/ETH/EPF diploma)
[] 13 Doctorate, post-doctoral qualification (habilitation)
[] 1 None
[] 2 Compulsory education attended but not completed
[] 3 Compulsory education
[] 4 1-year education and training course/bridging course
[] 5 Upper-secondary specialised school
[] 6 Apprenticeship in enterprise (VET) / basic vocational training / vocational school / commercial school
[] 7 Academic baccalaureate / teacher training certificate
[] 8 Vocational baccalaureate / specialised baccalaureate
[] 9 Federal PET examination with federal PET diploma / higher vocational examination with federal diploma / Master certificate
[] 10 College of higher vocational education and training
[] 11 Bachelor's degree: university, ETH/EPF, university of applied sciences, university of teacher education (including diploma from university of applied sciences / university of teacher education)
[] 12 Master's degree: university, ETH/EPF, university of applied sciences, university of teacher education (including licentiate, university/ETH/EPF diploma)
[] 13 Doctorate, post-doctoral qualification (habilitation)
9. In column b) the education/training that you are currently pursuing.
b) Current education/training
[] 1 None
[] 2 Compulsory education attended but not completed
[] 3 Compulsory education
[] 4 1-year education and training course/bridging course
[] 5 Upper-secondary specialised school
[] 6 Apprenticeship in enterprise (VET) / basic vocational training / vocational school / commercial school
[] 7 Academic baccalaureate / teacher training certificate
[] 8 Vocational baccalaureate / specialised baccalaureate
[] 9 Federal PET examination with federal PET diploma / higher vocational examination with federal diploma / Master certificate
[] 10 College of higher vocational education and training
[] 11 Bachelor?s degree: university, ETH/EPF, university of applied sciences, university of teacher education (including diploma from university of applied sciences / university of teacher education)
[] 12 Master?s degree: university, ETH/EPF, university of applied sciences, university of teacher education (including licentiate, university/ETH/EPF diploma)
[] 13 Doctorate, post-doctoral qualification (habilitation)
[] 1 None
[] 2 Compulsory education attended but not completed
[] 3 Compulsory education
[] 4 1-year education and training course/bridging course
[] 5 Upper-secondary specialised school
[] 6 Apprenticeship in enterprise (VET) / basic vocational training / vocational school / commercial school
[] 7 Academic baccalaureate / teacher training certificate
[] 8 Vocational baccalaureate / specialised baccalaureate
[] 9 Federal PET examination with federal PET diploma / higher vocational examination with federal diploma / Master certificate
[] 10 College of higher vocational education and training
[] 11 Bachelor?s degree: university, ETH/EPF, university of applied sciences, university of teacher education (including diploma from university of applied sciences / university of teacher education)
[] 12 Master?s degree: university, ETH/EPF, university of applied sciences, university of teacher education (including licentiate, university/ETH/EPF diploma)
[] 13 Doctorate, post-doctoral qualification (habilitation)
[p. 3]
10. Learned occupation: What profession did you learn in your highest educational qualification?
Indicate the exact title of your job, e.g.: cook, trustee, nurse. Academic titles may also be specified, e. g.: master of laws, master of arts in political science, dr. med.
________
________
11. What is your current labour market situation?
Please tick everything that applies (more than one answer is possible). Casual jobs should also be entered. Tick ''in employment'' if:
- You work at least one hour per week for payment, or;
- You work in a family business without payment, or
- You are temporarily away from work (on holiday, sick leave or paid maternity leave, military / community service) but are otherwise employed or self-employed.
Apprentices should select both ''in employment'' and ''undergoing training.''
[] 1 In full-time employment
[] 2 In part-time employment
[] 3 In several part-time employments
[] 4 Seeking a job (whether or not registered for unemployment insurance)
[] 5 Undergoing training (school, studies, apprenticeship)
[] 6 Looking after home or family
[] 7 Disabled or partially disabled (e.g. person in receipt of Federal Disability Insurance)
[] 8 Retired (in receipt of AHV (retirement) or other pension), or pensioner in receipt of benefit other than disability insurance
[] 9 Other non-employed situation
[If 1, 2, or 3 is chosen,] average number of hours worked per week: _ _
- You work at least one hour per week for payment, or;
- You work in a family business without payment, or
- You are temporarily away from work (on holiday, sick leave or paid maternity leave, military / community service) but are otherwise employed or self-employed.
Apprentices should select both ''in employment'' and ''undergoing training.''
[] 1 In full-time employment
[] 2 In part-time employment
[] 3 In several part-time employments
[] 4 Seeking a job (whether or not registered for unemployment insurance)
[] 5 Undergoing training (school, studies, apprenticeship)
[] 6 Looking after home or family
[] 7 Disabled or partially disabled (e.g. person in receipt of Federal Disability Insurance)
[] 8 Retired (in receipt of AHV (retirement) or other pension), or pensioner in receipt of benefit other than disability insurance
[] 9 Other non-employed situation
[If 1, 2, or 3 is chosen,] average number of hours worked per week: _ _
Questions 12, 13 and 14 apply to people in employment only, including apprentices.
12. What is your present occupation? ________
Indicate the exact title of your job, e.g.: office worker (instead of employee), court clerk (instead master of laws), metal grinder (instead of grinder), painter (artist) (instead of painter), primary teacher (instead of teacher), sales director (instead of director).
If you have more than one job, enter your main occupation. Your main occupation is the one on which you spend the most time.
If you have more than one job, enter your main occupation. Your main occupation is the one on which you spend the most time.
13. What is your occupational status?
Only one answer. Your answer should refer to your main occupation as given in question 12.
Self-employed or company owner:
Self-employed or company owner:
[] 1 Self-employed without employees (the business is not a stock corporation or plc)
[] 2 Self-employed with employees (the business is not a stock corporation or plc)
[] 3 Company owner (stock corporation or plc) without employees
[] 4 Company owner (stock corporation or plc) with employees
[] 5 relative employed in family business
[] 2 Self-employed with employees (the business is not a stock corporation or plc)
[] 3 Company owner (stock corporation or plc) without employees
[] 4 Company owner (stock corporation or plc) with employees
[] 5 relative employed in family business
Employed (including apprentice):
[] 6 Apprentice
[] 7 Employed as director or board member
[] 8 Employed with managerial responsibility
[] 9 Employed without managerial responsibility
[] 10 Employed in protected workshop (workshop for people with disabilities or addiction problems; except support staff) (except support staff)
[] 7 Employed as director or board member
[] 8 Employed with managerial responsibility
[] 9 Employed without managerial responsibility
[] 10 Employed in protected workshop (workshop for people with disabilities or addiction problems; except support staff) (except support staff)
14. State the name and full address of the company for which you work.
If the company has several branches, please indicate the branch in which you work. If you are self-employed, indicate the name of your office / practice, etc.
Name of the company: ________
Street: ________
No.: _ _ _ _
Postcode: _ _ _ _
Town: ________
Canton: ________
Country (if abroad): ________
Name of the company: ________
Street: ________
No.: _ _ _ _
Postcode: _ _ _ _
Town: ________
Canton: ________
Country (if abroad): ________
[p. 4]
If you are both employed and in education or training (e.g. apprentice, employed student), answer the questions in both columns.
Employed persons and apprentices
Please answer questions 15 to 18. Your answer should refer to your main occupation as given in question 12.
15. Where do you normally start work?
If you start working on your way to work, enter your usual place of work.
[] 1 Work from home
[] 2 Always at different locations, while travelling or at several locations
[] 3 At the address of the company indicated in question 14
[] 4 At another address:
[] 1 Work from home
[] 2 Always at different locations, while travelling or at several locations
[] 3 At the address of the company indicated in question 14
[] 4 At another address:
[] 5 Same town and same postcode as indicated in question 14.
[] 6 Different town: ________, PC: _ _ _ _
[] 6 Different town: ________, PC: _ _ _ _
[If 1 or 2 is chosen,] go to question 19 if you are in education or training, otherwise please go to the household and dwelling questionnaire.
16. From which address do you normally leave for work?
[] 1 From the address given on page 1
[] 2 From a different location:
[] 2 From a different location:
Street: ____
No.: _ _ _ _
Town: ____
PC: _ _ _ _
Canton: _ _
Country (if abroad): ____
No.: _ _ _ _
Town: ____
PC: _ _ _ _
Canton: _ _
Country (if abroad): ____
17. [Means of transport to work]
a) Enter all means of transport that you normally use on the same day to go to work (outward journey).
b) Please enter for how long you use each means of transport (duration in hours and minutes).
b) Please enter for how long you use each means of transport (duration in hours and minutes).
a) Means of transport
[] 1 On foot
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 2 Self-propelled scooter, skateboard, roller skates etc.
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 3 Bicycle, electric bike
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 4 Moped, motorcycle, motor scooter
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 5 Passenger car (as driver or passenger)
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 6 Company bus
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 7 Railway
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 8 Tram, metro line
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 9 Trolley bus, bus, post bus, coach
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 10 Other (e.g. ship, cable car)
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
18. How many times per week do you normally commute between home and work (round trip)?
Count outward and return journey as one trip.
_ _ times per week
_ _ times per week
School children, students and apprentices
Please answer questions 19 to 22.
19. Where do you normally go to school or college?
Name of school: ____
Street: ____
No.: _ _ _ _
Town: ____
PC: _ _ _ _
Canton: _ _
Country (if abroad): ____
[] 1 For distance learning courses. Enter the address of the educational institution above.
Street: ____
No.: _ _ _ _
Town: ____
PC: _ _ _ _
Canton: _ _
Country (if abroad): ____
[] 1 For distance learning courses. Enter the address of the educational institution above.
If you have ticked ''distance learning courses'' in the above question, please go to the household and dwelling questionnaire.
20. From which address do you normally leave for school/college?
[] 1 From the address given on page 1
[] 2 From a different location:
[] 2 From a different location:
Street: ____
No.: _ _ _ _
Town: ____
PC: _ _ _ _
Canton: _ _
Country (if abroad): ____
No.: _ _ _ _
Town: ____
PC: _ _ _ _
Canton: _ _
Country (if abroad): ____
21. [Means of transport to work]
a) Enter all means of transport that you normally use on the same day to go to school/college (outward journey).
b) Please enter for how long you use each means of transport (duration in hours and minutes).
b) Please enter for how long you use each means of transport (duration in hours and minutes).
a) Means of transport
[] 1 on foot
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 2 Self-propelled scooter, skateboard, roller skates etc.
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 3 Bicycle, electric bike
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 4 Moped, motorcycle, motor scooter
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 5 Passenger car (as driver or passenger)
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 6 School bus
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 7 Railway
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 8 Tram, metro line
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 9 Trolley bus, bus, post bus, coach
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
[] 10 Other (e.g. ship, cable car)
b) Duration (outward journey)
_ h _ _ min
_ h _ _ min
22. How many times per week do you normally commute between home and school/college (round trip)?
Count outward and return journey as one trip.
_ _ times per week
_ _ times per week
Please go to the household and dwelling questionnaire.
[p. 5]
Household and dwelling questionnaire
Structural survey of the federal population census 2011
Reference day: 31 December 2011
23. How many persons in this dwelling, including you, are registered at the residents' registration office (Einwohnerkontrolle)?
Refer to the dwelling at the address printed on page 1 of the personal questionnaire or that you have corrected. Include all Swiss nationals who are registered at this address and who have filed their documents at this commune; include all foreign nationals whose temporary or permanent residence permit has been issued for this address.
Number of persons _ _
If you live alone (single person household), please go straight to question 31 at the end of this questionnaire.
Number of persons _ _
If you live alone (single person household), please go straight to question 31 at the end of this questionnaire.
24. Please enter the persons included in question 23.
[Asked only of those who do not live alone in question 23.]
The AHV number is on the health insurance card, on the AHV card or on a pay slip. Please do not forget to indicate this number.
Person 1
The AHV number is on the health insurance card, on the AHV card or on a pay slip. Please do not forget to indicate this number.
Person 1
(Person 1 = the person who completed the personal questionnaire)
First name: ____
Family name: ____
First name: ____
Family name: ____
Person 2
First name: ____
Family name: ____
AHV-No.: 756. _ _ _ _. _ _ _ _. _ _
Date of birth: _ _. _ _. _ _ _ _ (DD.MM.YYYY)
Family name: ____
AHV-No.: 756. _ _ _ _. _ _ _ _. _ _
Date of birth: _ _. _ _. _ _ _ _ (DD.MM.YYYY)
[Same questions are repeated for persons 3 - 6 and omitted in this form]
For households with more than 6 members, there is a second household questionnaire. If you require a second questionnaire, please order one at the telephone number of our Hotline 0800 99 77 00.
For households with more than 6 members, there is a second household questionnaire. If you require a second questionnaire, please order one at the telephone number of our Hotline 0800 99 77 00.
Example for question 26 on the next page:
This example illustrates the relationships in a household between parents and a child. (Brigitte and Thomas with their daughter Laura). Brigitte is ''person 1.'' The illustration shows how to answer: In column 1, ''Thomas (= person 2), is the husband of person 1 (Brigitte)''; In column 2 ''Laura (= person 3) is the daughter of person 1 (Brigitte) as well as the daughter of person 2 (Thomas).''
[Example is omitted]
[Example is omitted]
[p. 6]
25. In the following columns, enter all persons except for person 1 from question 24, keeping the same numbers for each person.
Person 1 is the person who completed the personal questionnaire
[Asked only of those who do not live alone in question 23.]
Person 2
[Asked only of those who do not live alone in question 23.]
Person 2
1. First name: ____
2. Year of birth: (YYYY): _ _ _ _
3. Month of birth: (MM): _ _
2. Year of birth: (YYYY): _ _ _ _
3. Month of birth: (MM): _ _
Person 3
1. First name: ____
2. Year of birth: (YYYY): _ _ _ _
3. Month of birth: (MM): _ _
2. Year of birth: (YYYY): _ _ _ _
3. Month of birth: (MM): _ _
[Same questions are repeated for persons 4 - 6 and omitted from this form]
26. Relationship between the persons who live in the households (see example after question 24).
Answer for each person mentioned.
[Asked only of those who do not live alone in question 23.]
Person 2
[Asked only of those who do not live alone in question 23.]
Person 2
How is the person 2 related to person 1?
[] 1 Husband/wife
[] 2 Partner (cohabiting)
[] 3 Partner in a registered partnership
[] 4 Son or daughter (biological or adopted)
[] 5 Stepson or stepdaughter
[] 6 Father or mother
[] 7 Stepfather or stepmother
[] 8 Brother or sister
[] 9 Half-brother or half-sister
[] 10 Grandfather or grandmother
[] 11 Grandchild
[] 12 Other related person
[] 13 Other non-related person
[] 2 Partner (cohabiting)
[] 3 Partner in a registered partnership
[] 4 Son or daughter (biological or adopted)
[] 5 Stepson or stepdaughter
[] 6 Father or mother
[] 7 Stepfather or stepmother
[] 8 Brother or sister
[] 9 Half-brother or half-sister
[] 10 Grandfather or grandmother
[] 11 Grandchild
[] 12 Other related person
[] 13 Other non-related person
Person 3
How is the person 3 related to person 1?
[] 1 Husband/wife
[] 2 Partner (cohabiting)
[] 3 Partner in a registered partnership
[] 4 Son or daughter (biological or adopted)
[] 5 Stepson or stepdaughter
[] 6 Father or mother
[] 7 Stepfather or stepmother
[] 8 Brother or sister
[] 9 Half-brother or half-sister
[] 10 Grandfather or grandmother
[] 11 Grandchild
[] 12 Other related person
[] 13 Other non-related person
[] 2 Partner (cohabiting)
[] 3 Partner in a registered partnership
[] 4 Son or daughter (biological or adopted)
[] 5 Stepson or stepdaughter
[] 6 Father or mother
[] 7 Stepfather or stepmother
[] 8 Brother or sister
[] 9 Half-brother or half-sister
[] 10 Grandfather or grandmother
[] 11 Grandchild
[] 12 Other related person
[] 13 Other non-related person
How is the person 3 related to person 2?
[] 1 Husband/wife
[] 2 Partner (cohabiting)
[] 3 Partner in a registered partnership
[] 4 Son or daughter (biological or adopted)
[] 5 Stepson or stepdaughter
[] 6 Father or mother
[] 7 Stepfather or stepmother
[] 8 Brother or sister
[] 9 Half-brother or half-sister
[] 10 Grandfather or grandmother
[] 11 Grandchild
[] 12 Other related person
[] 13 Other non-related person
[] 2 Partner (cohabiting)
[] 3 Partner in a registered partnership
[] 4 Son or daughter (biological or adopted)
[] 5 Stepson or stepdaughter
[] 6 Father or mother
[] 7 Stepfather or stepmother
[] 8 Brother or sister
[] 9 Half-brother or half-sister
[] 10 Grandfather or grandmother
[] 11 Grandchild
[] 12 Other related person
[] 13 Other non-related person
[Same questions are repeated for persons 4 - 6 and omitted from this form]
27. What is the main language, i.e. the language which the person thinks in and knows best?
[Asked only of those who do not live alone in question 23.]
More than one answer is possible for someone who thinks in more than one language and knows these languages very well.
For infants who cannot speak yet, indicate the mother's main language(s).
Person 1
More than one answer is possible for someone who thinks in more than one language and knows these languages very well.
For infants who cannot speak yet, indicate the mother's main language(s).
Person 1
[] 1 German (or Swiss German dialect)
[] 2 French (or Swiss French patois)
[] 3 Italian (or Ticino or Grisons Italian dialect)
[] 4 Rhaeto-Romansch
[] 5 Serbian/Croatian
[] 6 Albanian
[] 7 Portuguese
[] 8 Spanish
[] 9 English
[] 10 Other language(s)
[] 2 French (or Swiss French patois)
[] 3 Italian (or Ticino or Grisons Italian dialect)
[] 4 Rhaeto-Romansch
[] 5 Serbian/Croatian
[] 6 Albanian
[] 7 Portuguese
[] 8 Spanish
[] 9 English
[] 10 Other language(s)
[Same questions are repeated for persons 3 - 6 and omitted from this form]
28. What is the highest educational level attained by the person?
Only one answer.
[Asked only of those who do not live alone in question 23.]
Only to be completed for persons aged 15 and older.
Person 2
[Asked only of those who do not live alone in question 23.]
Only to be completed for persons aged 15 and older.
Person 2
[] 1 None or compulsory education attended but not completed
[] 2 Compulsory education / 1-year education and training course / bridging course
[] 3 Apprenticeship in enterprise (VET) / basic vocational training / vocational school / commercial school
[] 4 Upper-secondary specialized school / academic baccalaureate / teacher training certificate / vocational baccalaureate / specialized baccalaureate
[] 5 Federal PET examination with federal PET diploma / higher vocational examination with federal diploma/Master certificate / college of higher vocational education and training
[] 6 University / ETH/EPF / university of applied sciences /university of teacher education
[] 2 Compulsory education / 1-year education and training course / bridging course
[] 3 Apprenticeship in enterprise (VET) / basic vocational training / vocational school / commercial school
[] 4 Upper-secondary specialized school / academic baccalaureate / teacher training certificate / vocational baccalaureate / specialized baccalaureate
[] 5 Federal PET examination with federal PET diploma / higher vocational examination with federal diploma/Master certificate / college of higher vocational education and training
[] 6 University / ETH/EPF / university of applied sciences /university of teacher education
[Same questions are repeated for persons 3 - 6 and omitted from this form]
29. What is the person's current labour market situation?
[Asked only of those who do not live alone in question 23.] Only to be completed for persons aged 15 and older.
More than one answer is possible.
In employment applies to persons who work at least one hour per week.
Person 2
More than one answer is possible.
In employment applies to persons who work at least one hour per week.
Person 2
[] 1 In full-time employment
[] 2 In part-time employment
[] 2 In part-time employment
Number of hours per week (part-time): _ _ hours
[] 3 Seeking a job (whether or not registered for unemployment insurance)
[] 4 Undergoing training (school, studies, apprenticeship)
[] 5 Looking after home or family
[] 6 Retired, pensioner, or in receipt of Federal Disability Insurance
[] 7 Other non-employed situation
[] 4 Undergoing training (school, studies, apprenticeship)
[] 5 Looking after home or family
[] 6 Retired, pensioner, or in receipt of Federal Disability Insurance
[] 7 Other non-employed situation
[Same questions are repeated for persons 3 - 6 and omitted from this form]
30. What is the person's occupational status?
Only one answer.
[Asked only of those who do not live alone in question 23.]
Only to be completed by persons in employment (incl. apprentices). Refer to the person's main occupation.
Person 2
[Asked only of those who do not live alone in question 23.]
Only to be completed by persons in employment (incl. apprentices). Refer to the person's main occupation.
Person 2
[] 1 Self-employed or owner of the stock corporation or plc
[] 2 Relative employed in family business
[] 3 Employed as director or board member
[] 4 Employee with managerial responsibility
[] 5 Employee without managerial responsibility (including apprentice)
[] 2 Relative employed in family business
[] 3 Employed as director or board member
[] 4 Employee with managerial responsibility
[] 5 Employee without managerial responsibility (including apprentice)
[Same questions are repeated for persons 3 - 6 and omitted from this form]
[p. 7]
Questions about the dwelling
Important: Refer to the dwelling at the address printed (or corrected by you) on page 1 of the personal questionnaire.
31. How many rooms are there in the dwelling in which you live?
Count the number of living rooms, bedrooms, etc.
_ _ - _ (e.g. 3.0 or 4.5)
Do not count kitchens, kitchenettes, bathrooms, cloakrooms, storerooms, corridors, verandas, etc., and any additional, separate rooms outside the dwelling (e.g. attic rooms).
32. In what capacity does the household to which you belong reside in this dwelling...?
Only one answer.
[] 1 As a tenant or subtenant
[] 2 As a member of a cooperative (your household belongs to a housing cooperative and occupies a dwelling in this cooperative)
[] 3 As the owner of the dwelling (floor or apartment)
[] 4 As the owner of the house (please note that this means the building (single family house/multi-family house) in which the dwelling is located)
[] 5 In some other capacity: dwelling is provided free of charge by a relative or employer, company accommodation (e.g. caretaker's apartment), usufruct, leaseholder
[] 1 As a tenant or subtenant
[] 2 As a member of a cooperative (your household belongs to a housing cooperative and occupies a dwelling in this cooperative)
[] 3 As the owner of the dwelling (floor or apartment)
[] 4 As the owner of the house (please note that this means the building (single family house/multi-family house) in which the dwelling is located)
[] 5 In some other capacity: dwelling is provided free of charge by a relative or employer, company accommodation (e.g. caretaker's apartment), usufruct, leaseholder
33. If your answer to the previous question was ''tenant'' or ''member of a cooperative'': What is the monthly rent paid for the dwelling?
Please give amounts rounded to the nearest whole Swiss Francs. You will find this information in your rental agreement.
Monthly rent
CHF _ _ _ _ _
Additional costs
Are additional costs (heating, hot water etc.) included in the monthly rent above?
[] No
[] Yes
[] No
[] Yes
If so [yes], please indicate the monthly additional costs.
CHF _ _ _ _ _
CHF _ _ _ _ _
Garage(s)/parking space(s)
Is the monthly rent for garage(s) / parking space(s) included in the monthly rent above?
[] No
[] Yes
[] No
[] Yes
If so [yes], please indicate the monthly rent for garage(s) / parking space(s).
CHF _ _ _ _ _
Number of garages/parking spaces included in the monthly rent above.
_
CHF _ _ _ _ _
Number of garages/parking spaces included in the monthly rent above.
_
34. If your answer to question 32 was ''tenant'' or ''member of a cooperative'': Since when has your household occupied this dwelling?
Please consider the members of the household that have occupied the dwelling for the longest and enter the year in which the first lease was signed.
Since the year: _ _ _ _
Since the year: _ _ _ _