National Institute of Statistics
Chile
2017 Population and Housing Census
Data collected by INE are confidential and are subject to statistical secrecy, as per section 29 of act no. 17,374.
[p. 1]
Portfolio number _ _ _ _ _ _
Commune name ____
Housing unit number _ _ _
Household number inside housing unit _ _
If this is the second of third questionnaire of the same household, please mark here:
[] Continuation
____ Street or road name
____ House number
____ Block, tower or other number or letter
____ Floor number
____ House, room or apartment number or letter
Read the questions as they appear in the questionnaire. Mark only one answer. Use only the pencil and eraser provided. Do not accentuate or cross out words. Write using letters or numbers as follows:
ABCDEFGHIJKLMNÑOPQRSTUVWXYZ 0123456789
Mark like this: [completely filled-in oval]
Do not mark like this: [ovals with line and check marks]
B. Housing unit characteristics
Questions 1 and 2 (observation)
1. Indicate type of housing unit:
[] 2 Apartment
[] 3 Traditional indigenous unit (ruka, pae pae or other)
[] 4 Room in an old house or tenement
[] 5 Hut, shack, hovel or emergency housing
[] 6 Mobile housing (tent, trailer or other)
[] 7 Other kind of privately owned housing unit
2. Indicate whether the housing unit is...
[] 2 Occupants absent
[] 4 Seasonal housing unit (vacation property or other)
- If the unit is vacant, end the questionnaire.
Begin surveying the informant here:
[The questionnaire begins in question 3]
3. What is the main construction material...
[] 2 Masonry: cement, stone or brick blocks
[] 3 Partition wall, lined on both sides (with wood or steel)
[] 4 Partition wall, no lining of any kind
[] 5 Adobe, md, wattle and daub, pirca or other traditional artisanal element
[] 6 Poor construction materials (tin, cardboard, plastic, etc.)
[] 2 Concrete slabs
[] 3 Metallic sheets (zinc, copper, etc) or fiber cement (Pizarreño type)
[] 4 Phonolite or tarred felt
[] 5 Straw, thatch, cattail or cane
[] 6 Poor construction materials (tin, cardboard, plastic, etc.).
[] 7 No solid roofing
[] 2 Foundation block, no lining
[] 3 Cement tile
[] 4 Cement layer over the ground
[] 5 Earthen floor
4. How many rooms in this house unit are used only as bedrooms?
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6 or more
5. The water supply comes primarily from:
[] 2 Well or water wheel
[] 3 Tanker truck
[] 4 River, spring, stream, channel, lake, etc.
6. How many persons stayed at the housing unit last night? Do not forget to include babies, girls, boys and elderly persons.
[] If more than one, enter the number here _ _
6.a. Do all the persons who stayed at this housing unit last night share food expenses?
[] 1 Yes (go to section C)
[] 2 No
6.b. Including your own group, how many groups have separate food expenses?
Each group indicated is considered a household for census purposes. For each household, a separate questionnaire must be used. If there are two or more households in the housing unit, their information must be recorded in separate questionnaires. For subsequent questionnaires:
- Enter the household number in the appropriate space.
- Do not fill in the "b. Housing unit characteristics" box.
- Begin the interview in section "c. Household members who stayed last night.
[p. 2]
C. Household members who stayed last night
6.c. Indicate the names of all individual members of the household who stayed at the housing unit last night. Begin with the head of the household (male of female).
If more than one household is recorded on question 6.b., separate questionnaires must be used for each of the households identified.
[For each person, record:]
Person No. _ _
Full name ________
Relationship with head of household (male or female) ________
Sex:
[] Female
- Persons who died after midnight of April 18-19, 2017.
- Persons who did not stay at the housing unit for reasons of work (night shifts) but returned to the unit during the census day.
- Persons who did not stay at the housing unit because they were at a party, wake or other special case, provided that they were not or will not be recorded elsewhere.
- Another housing unit, boarding room or hotel
- A hospital
- A correctional facility
6.d Of the total number or persons mentioned, how many males and how many are females?
- Verify that the number of the last person recorded in 6.c. is the same as the total number recorded for this question.
_ _ Total
_ _ Males
_ _ Females
- All persons present at the time you arrive at the housing unit-if not recorded elsewhere - must be recorded.
- No person should be recorded twice.
- If in doubt, a person must be recorded.
If more than eight individuals are staying at a housing unit, in additional questionnaires you must affix the portfolio number sticker, repeat the unit number and household number, and fill in the continuation circle. Then continue to record each person listed in 6.c, section "d. Personal information".
Before continuing with section "d. Personal information". Enter in the first line of each page the first name of every person who stayed at the housing unit last night:
b. On page 2, indicate the name of person no. 2 and then enter all the other members of the household in the same order as indicated in question 6.c
[p. 3]
For all persons
[Questions 7 to 16 are asked of all persons]
7. What is your relationship with the head of the household?
[] 2 Husband/wife (spouse)
[] 3 Civil partner
[] 4 Common-law husband/wife or partner
[] 5 Son/daughter
[] 6 Son/daughter of spouse, common-law husband/wife or partner
[] 7 Brother/sister
[] 8 Father/mother
[] 9 Brother/sister-in-law
[] 10 Father/mother-in-law
[] 11 Son/daughter-in-law
[] 12 Grandson/granddaughter
[] 13 Grandfather/grandmother
[] 14 Other relative
[] 15 Non-relative
[] 16 Live-in domestic staff
[] 2 Female
9. How old are you?
Age at last birthday _ _ _
9.a. In which month and year were you born?
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
Year _ _ _ _
10. Are you an habitual resident of this commune?
[] 2 At another housing unit
[] 4 In another country (enter the name of the country) ____
11. In which commune or country did you live in April 2012?
[] 2 In this commune
[] 3 In another commune (enter the name of the commune) ____
In another country:
[] 5 Argentina
[] 6 Bolivia
[] 7 Ecuador
[] 8 Colombia
[] 9 Other (enter the name of the country) ____
12. When you were born, in which commune or country did your mother live?
[] 2 In another commune ____ (enter the name of the commune)
[] 5 Argentina
[] 6 Bolivia
[] 7 Ecuador
[] 8 Colombia
[] 9 Other ____ (enter the name of the country)
If you do not know the year, mark the period in which you arrived in Chile.
[] 2 Between 2000 and 2009
[] 3 Between 1990 and 1999
[] 4 Before 1990
13. Do you currently attend an institution of formal education?
Includes pre-school, special education, and elementary, secondary and tertiary education.
[] 2 Not at present
[] 3 Never have (go to 16)
14. What is the highest educational level you have attained?
Remember it is not your current course but the highest level completed
- For those who have completed the tertiary education, enter the number of years of the program
[] 1st
[] 2nd
[] 3rd
[] 4th
[] 5th
[] 6th
[] 7th
[] 8th
15. To which educational level does the above course refer?
[] 2 Pre-kinder
[] 3 Kinder
[] 6 Primary (old system)
[] 8 Vocational
[] 9 Humanities (old system)
[] 10 Business, industrial, normal-school (olds system)
[] 12 Professional degree (4 or more years)
[] 13 Master's Degree
[] 14 PhD
That is, did you complete elementary or secondary education, or did you receive a diploma or degree for the final level completed?
[] 2 No
16. Do you belong to any of the following first peoples or indigenous groups?
[] 2 No (go to 17)
[] 2 Aymara
[] 3 Rapa Nui
[] 4 Lican Antai
[] 5 Quechua
[] 6 Colla
[] 7 Diaguita
[] 8 Kawésqar
[] 9 Yagán or Yamana
[] 10 Other (specify) ____
For all persons aged 15 years and over
[Questions 17-18 were asked of persons age 15 and over.]
[] 2 Without remuneration, for a relative
[] 4 I was looking for a job (go to 19)
[] 5 I was studying (go to 19)
[] 6 I was performing household chores (go to 19)
[] 7 I am retired, or a pensioner or rentier (go to 19)
[] 8 Other (go to 19)
18. In the work mentioned above, in what economic activity does the company, institution or own-account worker engage?
Specify in at least three words, for example "sale of beverages and groceries".
If self-employed, enter the product you manufacture or the service you render. Avoid answers like "self-employed" or "independent company".
________
Only for women aged 15 aged years and over
[Questions 19-21 were asked of women age 15 and over.]
19. How many live-born children have you had?
_ _ Number
20. How many children are currently alive?
_ _ Number
21. In what month and year was your last live-born child born?
[] February
[] March
[] April
[] May
[] June
[] July
[] August
[] September
[] October
[] November
[] December
_ _ _ _ Year
[Pages 4 to 10 have the same questions (section d) but they are applied to the next household member]