República de Chile
Dirección de Estadística y Censos
XIV National Census of Population and III of Housing
April 22nd, 1970
____ Census form number
____ Control page number
Office Use:
____ Province
____ Department
____ Municipality
____ District
____ Census Zone
____ Sector of Enumeration
____ Dwelling order number
____ Form order number
____ Area
____ Locality
____ Category
____ Household type
Form number 51
7. Area:
[] 2 Rural
8. Place or locality
b) ____ Category (indicate whether a city, town, hamlet, agricultural estate (fundo), nitrate mine, encampment, outpost, etc.)
9. Address:
____ Number
____ Floor number
____ Apartment number
Rural:
10. Household type:
[] 2 Collective
I. General Dwelling Information
1. Dwelling type
[] 01 House
[] 02 Apartment
[] 03 Room in a high-density slum dwelling (conventillo)
[] 04 Shack in a farm (rancho), Indian dwelling, rustic huts
[] 05 Emergency (government-provided) shelter or pre-fabricated shack
[] 06 Squatter camp dwelling (callampa)
[] 07 Dwelling in a structure or other place not intended for use as a residence
[] 08 Boxcar, boat, tent, etc.
[] 09 ____ Other (specify)
B. Collective dwellings
[] 10 Hotel, motel, inn
[] 11 Boardinghouse or rooming house
[] 12 Guesthouse
[] 13 Institution (hospital, convent, etc.)
[] 14 ____ Other (specify)
[] 2 Occupied with inhabitants absent
[] 3 Unoccupied
The dwelling is:
[] 91 New, awaiting the first occupants
[] 92 Unoccupied for other reasons
3. Predominant material and condition of the dwelling
A. Principal walls
Construction material
[] 2 Wood, plank (with iron, slate or other siding)
[] 3 Mortared adobe
[] 4 Bricks placed on edge, flat adobe or cement brick, mud-and-stick, flat straw, stone
[] 5 Waste material (tin, cardboard box, and/or various other waste materials)
[] 6 ____ Other materials (specify)
State of preservation
[] 2 Acceptable
[] 3 Poor
Construction material
[] 2 Tar corrugated paper sheets, clay-covered straw
[] 3 Waste material (tin, cardboard box, and/or various other waste materials)
[] 4 ____ Other materials (specify)
State of preservation
[] 2 Acceptable
[] 3 Poor
Construction material
[] 2 Earth
State of preservation
[] 2 Acceptable
[] 3 Poor
4. Number of rooms in the dwelling
A) ____ Number of rooms used for residential purposes (excluding kitchen and bath)
B) ____ Number of rooms used exclusively for commercial purposes
5. Water service for the dwelling
A. Water supply
[] 2 Has piped water outside the dwelling at a distance of ____ meters
[] 3 Does not have piped water supply
B. Source of water
[] 2 Well or water wheel
[] 3 ____ Other source (specify)
6. Availability of shower or bath in the household
A) Shower or bath, for the exclusive use
[] 2 without hot water
B) Shower or bath, shared use
[] 4 without hot water
C) [] 5 Has neither shower nor bath
7. Availability of Toilet (W.C.) in the household
A) Toilet, exclusive use
[] 2 Without flushed water
B) Toilet, shared use
[] 4 Without flushed water
C) [] 5 Does not have a toilet
8. Toilet wastewater removal system
[] 2 Septic tank
[] 3 Pit/latrine
[] 4 ____ Other system (specify)
[] 5 None
9. Electric lighting in the household
[] 2 Does not have electric lighting
10. Availability of a kitchen and fuel use in the household
A. Room used for kitchen
[] 2 Does not have a kitchen
B. Fuel used for cooking
[] 2 Electricity
[] 3 Paraffin (kerosene)
[] 4 Other
11. Number of rooms used by the household for residential purposes (excluding kitchen and bath)
12. Condition of tenure (ownership)
A. Tenure
[] 2 Renter
[] 3 Sub-letter
[] 4 Usufructuary
[] 5 ____ Other (specify)
B. If owner, the dwelling occupied by this household is:
[] 2 Partially paid for
C. If a renter or sub-letter
13. Vehicles and Household equipment
[] 2 Motorcycle
[] 3 Bicycle
[] 4 Radio receptor
[] 5 Television
[] 6 Refrigerator
[] 7 Sewing machine
[] 8 None
Summary of population in the census household
____ Females
____ Total
____ Enumerator's Signature
C. Persons in the census household
[Translator's note: This section consists of a table with columns for the answers pertaining to two separate people. The questions are phrased in such a way that they could be asked of the person directly (are you?) or about the person (is he/she?). I have translated them as if asked directly of the person.]
1. Name and surnames
What are the name and surnames of each of the people who spent the night here from the 21st to the 22nd of April?
2. Relationship
What is the relationship to the head of the household?
[] 1 Wife or husband
[] 2 Live-in Partner
[] 3 Child
[] 4 Parents or parents-in-law
[] 5 Grandchild
[] 6 Other relative
[] 7 Other non-relative
[] 8 Unknown
3. Sex:
Are you a man or a woman?
[] 2 Female
4. Age:
For those less than one year old, write "00."
5. Current marital status: Only for those 12 years of age and older.
What is your current marital status?
[] 2 Consensual union
[] 3 Widowed
[] 4 Separated or annulled
[] 5 Single
[] 6 Unknown
6. Religion:
What is your religion?
____ Other (specify)
7. Place of birth:
Where were you born?
If born in this same municipality, write "here;" otherwise, write the municipality or place and the province or country where born.
____ Municipality or place
____ Province or country
[A blank box appears in the corner of the space for these responses]
8. Current habitual residence:
In what municipality do you habitually live?
If living in this same municipality, write "here;" otherwise write the municipality or place and the province or country of residence.
____ Municipality or place
____ Province or country
[A blank box appears in the corner of the space for these responses]
9. Residence in 1965: Only for those persons five years of age and older.
Where was your habitual or permanent residence in April, 1965?
[] 1 Here
____ Municipality or place
____ Province or country
[A blank box appears in the corner of the space for these responses.]
II -- Educational Characteristics
For all individuals 5 years of age and older.
10. Level of instruction (educational level):
What is the last year of regular schooling completed, and in what type of schooling?
[] 0
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
Type of schooling:
[] 01 Primary
[] 02 Basic
[] 03 Secondary
[] 04 Middle
[] 05 Commercial
[] 06 Industrial
[] 07 Agricultural
[] 08 Feminine technical
[] 09 Teacher-training
[] 10 University
[] 11 Unknown
11. School attendance:
Do you currently attend an institution of regular schooling?
[] 2 Not attending
[] 9 Unknown
12. Literacy:
Only for those who answered "none" or "primary" in question number 10.
Are you able to read and write?
If "only" able to real or "only" able to write, mark "no."
[] 2 No
III Economic Characteristics
Only for those 12 years of age and older.
13. Type of activity:
What did you do during the greater part of the week of April 13th to the 18th?
[] 1 Did not work but had a job?
[] 2 Looked for work and had worked before?
[] 3 Looked for work for the first time?
[] 4 Retired or pensioner?
[] 5 Rentier?
[] 6 Student?
[] 7 Household duties?
[] 8 Other?
[] 9 Unknown?
14. Principal occupation: For those who answered 0, 1 and 2 in question number 13.
What occupation, position, profession or type of work did you engage in the week of April 13th to the 18th, or before in the case of an unemployed person?
(Examples: bricklayer, doctor, auto mechanic, tractor driver, etc.)
[A blank box also appears in the corner of the space for these responses]
15. Occupational category:
For those who answered 0, 1 and 2 in question number 13.
What position did you have in the occupation or job indicated above?
[] 2 Own-account worker
[] 3 Employee (professional or white-collar)
[] 4 Manual laborer or day laborer
[] 5 Domestic employee
[] 6 Unpaid family worker
[] 7 Unknown
16. Industry:
For those who answered 0, 1 and 2 in question number 13.
What does the establishment, industry, factory, workshop, service, etc. where you work or worked before do?
(Examples: poultry farm, gasoline pumping station, etc.)
[A blank box also appears in the corner of the space for these responses]
IV -- Fertility
Only for women 15 years of age and older
17. Number of children: