Read the instructions on the other side before filling out this form
República de Chile
Ministerio de Economía
Dirección de Estadística y Censos
____ Urban or Rural
____ Part or Complete
7. ____ Control sheet line number
b) ____ Category
1. Dwelling type
 02 Apartment in an apartment building
 03 Shack (casita de cité)
 04 Apartment or room in a house
 05 Apartment or room in a school, factory, workshop, collective dwelling, etc.
 06 Room in a high-density slum dwelling
 07 Improvised dwelling (callampa, squatter settlements)
 08 Shack in a farm (rancho), Indian dwelling, rustic huts
 09 Trailer, boat, boxcar
 10 Others (tents, parked cars, etc.)
 12 Hotel
 13 Lodge
 14 Hospitals and asylums
 15 Convent
 16 Boarding school
 17 Regiment or military camp
 18 Prison
 19 Workers' camps, cabins, etc.
 20 Others
a) Exterior walls
 2 Brick, cement block or stone
 3 Mortared adobe
 4 Wood
 5 Exterior brick covered with galvanized, asbestos/cement or other type of siding boards bricks.
 6 Bricks placed on edge. Flat adobe, or cement brick
 7 Stick-and-mud, clay, straw, waste materials, tin, cardboard
 8 Other material
 2 Acceptable
 3 Poor
b) Roof covering
 2 Clay or cement roof-tile
 3 Asbestos/Cement boards
 4 Wooden tile
 5 Tar corrugated paper sheets
 6 Reeds stick-and-mud, cardboard, tin or wood waste material
 7 Other material
 2 Acceptable
 3 Poor
5. Toilet facilities
a) System of waste removal
 2 Septic tank
 3 Pit/latrine
 4 Drain to irrigation canal (acequia)
 5 Other system
 6 None
b) The toilet is used:
 2 By two or more families
12. For office use
[12 empty boxes]
[The following section, questions, 1 -- 18, are in the format of a table. The question appears as a column heading, with blank spaces below to write the answers for a series of individuals. Thus only the questions are translated here.]
1. Person order number ____
Name and surnames ____
Write them in the following order:
Head of family, wife, single children, married children and their family members, other relatives, guests, boarders, domestic employees, others.
Do not forget to include infants born before 12 midnight on the 28th of November and those deceased after that time.
If a person's name is unknown, write N.N.
If a collective dwelling, write the people down in the order given by their category within the dwelling. For example, in a hospital: Director, Doctor, Nurse, Patient.
Be sure that no person is left unenumerated.
2. Sex. ____
Write H if male and M if female.
3. Relationship ____
On the first line the word "head" is already printed following the spaces for name and sex of the person recognized as head of the family. For the rest, write the relationship that person has to the above-specified head. Examples: wife, son, uncle, guest, boarder, domestic servant, etc.
8. Year ____
Write the year in which the person came to live in the place of enumeration. If the person has always lived in the place of enumeration, write "always." If the person is a resident in transit, write "in transit."
9. Previous residence ____
Write the name of the province or country of where you came from.
If the person changed residence due to earthquakes add the letter "D."
13. Educational level ____
For all individuals, write the highest course completed and the type of instruction received.
2nd year Feminine technical
1st year High school or primary
2nd year Business school
4th year Medical
2nd year Social sciences
3rd year Law
14. School attendance ____
For those currently attending an educational establishment, write the level and type of instruction receiving.
3rd year High school or primary
2nd year Technical or trade school
3rd year Social sciences
3rd year Civil engineering
3rd year Business school
2nd year Metallurgy/mining technician
15. Type of activity ____
Write as appropriate:
CE = Unemployed
BT = Looking for work for the first time
QH = Domestic duties
ES = Student
RT = Rentier (rentista)
JB = Retired or pensioner
IR = Disabled or confined
OT = Others
16. Occupation ____
If an Employed person has more than one job, write the one that produces the greatest income.
For those Unemployed, write the last occupation held.
For those Looking for work for the first time, write the profession, or if none, write "none."
Avoid using vague terms, like "professional," "worker," and so on. Give concrete occupations such as Lawyer, Bricklayer, Taxi driver, Doctor, Soldier, Cashier, etc.
17. Industry ____
Specify clearly the type of establishment in which the employed person works or, if unemployed, the last place of employment, such as:
Boys' school, wool blanket factory, commercial bank, general store, nail factory, livestock ranch, children's hospital, postal and telegraph office, armed forces, police, etc.
Avoid vague terms such as: factory, office, workshop, etc.
18. Occupational category [employment status] ____
Write the Occupational category in the following manner:
TCP = Own-account worker
EM = Professional employee
OB = Manual laborer
ED = Domestic employee
FR = Paid family worker
FNR = Unpaid family worker
OT = Other