Questionnaire of the
Third National Population Census
1982
State Statistical Bureau of The People's Republic Of China
____ Household Address
____ Province, Municipality, Autonomous Region
____ County, City
____ Commune, Street Committee
____ Production Brigade, Residents' Committee
____ Production Team, Presidents' Group (Street ____, Lane ____ No. )
____ Name of Collective Household
Reference Time: 00:00 a.m. July 1, 1982
Respondents must provide information honestly
Enumerators must record the answers accurately
I. Household Type
[] 2. Collective HH.
II. Serial No. of the household
No. of persons in the household
____ Male
____ Female
_ _ _
IV. No. of births in the household in 1981
____ Male
____ Female
_ _
V. No. of deaths in the household in 1981
____ Male
____ Female
_ _
VI. No. of registered persons absent over one year
____ Male
____ Female
_ _ _
Attachment: Registered person absent above one year
[Space for four persons provided]
____ Sex
Remarks: ____
[The questions are displayed in a table. The columns contain the questions and the rows space for the answers of five persons]
Each Person
[Applies to questions I - VI]
II. Relationship to head of household
[] 2. Spouse
[] 3. Child
[] 4. Grandchild
[] 5. Parent
[] 6. Grandparent
[] 7. Other relative
[] 8. Other non-relative
III. Sex
[] 2. Female
IV. Age
____ Year
____ Month
____ Day
____ Years of Age
_ _ _
VI. Registration Status
[] 2. Residing here over 1 year but registered elsewhere
[] 3. Residing here less than 1 year absent from the registration place over 1 year
[] 4. Living here with registration unsettled
[] 5. Used to reside here; is abroad with no registration
Persons aged 6 and above
VII. Educational level
[] 2. Undergraduate
[] 3 Senior middle school
[] 4. Junior middle school
[] 5. Primary school
[] 6. Illiterate or semi-literate
Persons aged 15 and above
[Applies to questions VIII - XI]
X. Status of non-working person
[] 2. Housekeeping
[] 3. Awaiting school enrollment
[] 4. Awaiting state employment
[] 5. Awaiting job assignment in city/town
[] 6. Retired or resigned
[] 7. Other
Marital Status
[] 2. Married
[] 3. Widowed
[] 4. Divorced
Women aged 15 to 64
XII. No. of children ever born and currently alive
____ Children living at present
_ _ _ _
Women of childbearing age - 15 to 49
XIII. Bore the following in 1981
[] 1. First child
[] 2. Second
[] 3. Third
[] 4. Fourth
[] 5. Fifth or more
____ Respondent
____ Enumerator
Date
____ Month
____ Day
____ Head of Household
____ Total Pages
____ Page No.
____ Page in the booklet