The information solicited by the INE is confidential. Article 29, Law 17374 establishes statistical secrecy.
República de Chile
Instituto Nacional de Estadísticas
XVII National Population Census and VI of Housing
Census Questionnaire Census 2002
____ Folder number
Copy the folder number
Copy this number onto each questionnaire
____ Dwelling number
____ Household number
If this questionnaire is a continuation of the previous one, fill in here:
____ Street or route
____ Block number
____ Apartment number
[some instructional information follows]
1. Indicate the dwelling type:
A. Private dwelling
 2 Apartment in a building
 3 Room in a high-density slum dwelling (conventillo)
 4 Improvised hut made of light construction material, government-issued emergency housing (mejora, mediagua)
 5 Shack in a farm (rancho), rustic huts
 6 Indian dwelling
 7 Mobile (tent, boxcar, container, boat, motorboat, or similar)
 8 ____ Other type of private dwelling
B. Collective dwelling (group quarters)
If a collective dwelling, skip to Section D, "Number of people in the household." If there are no inhabitants or guests present, end the interview.
2. Indicate if the dwelling is:
 2 Without people present
B.  3 Unoccupied
If the dwelling is "occupied with people absent," return when you have finished the rest of your route.
 2 Brick
 3 Structural panels, prefabricated block
 4 Wood or sawed planks
 5 Fiber-cement [drywall]
 6 Adobe, clay with straw
 7 Waste material (tin, cardboard, plastic, etc.)
B. In the roof covering:
 2 Tiles (wood, asphalt)
 3 Concrete slabs
 4 Zinc
 5 Slate
 6 Fiberglass
 7 Tar corrugated paper sheets
 8 Straw with clay
 9 Waste material (tin, cardboard, plastic, etc.)
C. In the floor:
 2 Ceramic floor tile
 3 Boards (wood)
 4 Wall-to-wall carpeting
 5 Cement floor tile
 6 Plastics (flexit, linoleum, etc.)
 7 Brick
 8 Concrete floor slab
 9 Earth
8. The toilet (W.C.) for this dwelling is:
 2 Connected to a septic tank
 3 On a pit or latrine
 4 On a river or canal
 5 Chemical
 6 Doesn't have toilet facilities (W.C.)
10. Not counting the bathrooms, how many rooms does this dwelling have, including the kitchen?
Total number of rooms:
 10 or more
Indicate the uses of each room: [For rooms numbered up to 10, fill-in ovals appear below each of the possible uses.]
Use of the rooms:
[some instructional information follows]
11. How many households are there in this dwelling?
 4 or more
For the other households in the dwelling,
Use one questionnaire for each additional household.
On each of those, repeat the dwelling number, write the number of the next household, and write the folder number.
Leave Section B, "Dwelling," blank.
Continue the interview with Section C, "Household Information."
Videorecorder, Video cassette player (VCR)
Cable or satellite T.V. connection
Minicomponent stereo system and/or High-fidelity equipment
Dryer or centrifuge
Hot water heater
Motorcycle, motor scooter (moto), or moped (bicimoto)
Wagon (example: utility)
Automobile or Wagon
Light truck, van, jeep
Motorboat, sailboat, rowboat
D. People who make up the household
Number of people in the household
On the first or sole questionnaire for the household, write the number of males, females, and total number of people who make up the household.
Remember that each person should be enumerated in Section E, "People in the Household."
Before going on to enumerate each person in Section E, "People in the Household,"
On the first line of each page, write the names of each of the people who spent the night here last night. On the first page, write person number 1, name of the head of the household; on the second page person number 2, name of the spouse or live-in partner, and so on in order until completing the process for all of the members of the household.
If there are more than 6 people in the household and you use additional questionnaires, repeat on each: Portfolio number, Dwelling number, Household number, fill in the "continuation" oval, and continue with Section E, "People in the Household."
Confirm that the person number of the last person in the household is the same as the Total in Section D, "People who make up the household."
Do not forget to include:
People who live in the household but did not spend the night here last night for reasons of work (for example, someone who does shift work)
Babies born before 0 hours on April 24th, 2002 [Midnight of April 23rd]
Those deceased after 0 hours on April 24th, 2002 [Midnight of April 23rd]
____ Enumerator's name
____ Person number
17. What is your relationship to the head [explicitly male or female] of the household?
 3 Live-in partner
 4 Child
 5 Stepchild
 6 Son- or daughter-in-law
 7 Grandchild
 8 Sibling
 9 Sibling-in-law
 10 Parent
 11 Parent-in-law
 12Other relative
 13 Other non-relative
 14 Live-in domestic servant
 15 Member of a collective household
19. How old are you in years completed? ____
If the person is not yet 1 year old, write 00
If the person is between 1 and 99 years old, write 01, 05, 10, 19, 43 through 99
If the person is 100 years old or older, fill in the missing digits:
21. Do you belong to any of the following first peoples or indigenous groups?
 2 Atacameño
 3 Aimara
 4 Colla
 5 Mapuche
 6 Quechua
 7 Rapa Nui
 8 Yámana (Yagán)
 9 None of the above
22. When you were born, in what municipality or place did your mother live?
 In this municipality
 In another municipality
 In another country
Year of arrival in Chile ___
26. What is the highest level and grade of formal education you completed?
 2 Pre-school
 3 Special education
 4 Elementary/primary
 5 Common middle/secondary (media común)
 6 Humanities (secondary)
 7 Commercial secondary (media)
 8 Industrial secondary (media)
 9 Agricultural secondary (media)
 10 Maritime secondary (media)
 11 Teacher-training
 12 Feminine technical
 13 Technical training center
 14 Professional institute
 15 University
29. In which of the following situations did you find yourself during the last week?
 2 Not working, but having a job
 3 Looking for work, having worked before
 4 Working for a family member without receiving payment in money
For any of the above answers, go on to question 30.
 6 Engaged in household duties
 7 Studying
 8 Retired or pensioner
 9 Permanently disabled for purposes of work
 10 Other situation
For the above answers, skip to question 33.
30. In this job, are (or were) you.
 2 Worker in domestic service
 3 Own-account worker
 4 Employer, business owner or boss
 5 Unpaid family worker
31. What occupation or type of work do you perform, or did you perform in the past if unemployed?
Examples: Auto mechanic; university professor; furniture-maker in a factory; cameraman; graphic designer; cashier in a . . . . ; vendor of . . . . ; etc.
32. What does the establishment where you work (or worked, if unemployed), principally do?
Examples: ____ factory; sales of prepared food; livestock ranch; canned goods company; supermarket; repair shop; bank, etc.