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1990 National Population Census Questionnaire

Reference time: 00:00 July 1, 1990
Respondents must provide information honestly.
Enumerators must record the answers accurately.

Household address ____
Enumeration district ____
Enumeration area

Number ____
Street ____

Name of the institutional household ____

Respondent: ____
Enumerator: ____
Date: ____
Month: _ _
Day: _ _

Head of household: ____
Total pages: _ _
Page No.: _ _
Page in the booklet: _ _

1. Serial Number of the household: _ _ _

2. Household type:

[] Domestic
[] Institutional.

3. Number of persons in the household:

M: _ _ _
F: _ _ _
Total: _ _ _

4. Number of births in the household in the

a) 1st 6 months of 1989:
M: _ _
F: _ _ _
Total: _ _
b) 2nd 6 months of 1989:
M: _ _
F: _ _
Total: _ _
a) 1st 6 months of 1990:
M: _ _
F: _ _
Total: _ _

5. Number of deaths in the household in the:

a) 1st 6 months of 1989:
M: _ _
F: _ _
Total: _ _
b) 2nd 6 months of 1989:
M: _ _
F: _ _
Total: _ _
a) 1st 6 months of 1990:
M: _ _
F: _ _
Total: _ _

6. Number of persons in the household away from this country or city for more than 6 months:

M: _ _
F: _ _
Total: _ _

Remarks ______

Each Person

1. Name: ____

2. Relationship to head of household:

[] 1 Head of household
[] 2 Spouse
[] 3 Child
[] 4 Grandchild
[] 5 Parent
[] 6 Grandparent
[] 7 Other relative
[] 8 Non-relative

3. Sex:

[] 1 M
[] 2 F

4. Age: _ _ _

Born in the year: _ _ _ _
Born in the month: _ _

6. Status and nature of registration:
a)

[] 1 Residing and registered here
[] 2 Residing here over 1 year, but registered elsewhere
[] 3 Living here less than 1 year absent from reg. place over 1 year
[] 4 Living here with registration unsettled
[] 5 Used to reside here; is now abroad with no registration

b)

[] 1 Agricultural registration
[] 2 Non-agricultural registration

7. Status of permanent residence before July 1, 1985:
a)

[] 1 Residence in this county/city
[] 2 Residence in other county/city in the same province
[] 3 Residence in other province ____

b)

[] 1 Residence in street committee of cities
[] 2 Residence in town
[] 3 Residence in township

8. Reasons for migration:

[] 1 Job transfer
[] 2 Job assignment
[] 3 Work/business
[] 4 Study/training
[] 5 To relative/friend
[] 6 Retired/resigned
[] 7 Move with family
[] 8 Marriage
[] 9 Other

9. Educational level:

Persons age 6 and over

a)
[] 1 Illiterate or semi-literate
[] 2 Primary
[] 3 Junior middle
[] 4 Senior middle
[] 5 Technical secondary
[] 6 2-year college or certificate
[] 7 College or university

b)
[] 1 Student
[] 2 Graduate
[] 3 Attended, but did not graduate
[] 4 Other

Persons age 15 and over

[Questions 10-13 were asked of persons age 15 and older.]

10. Industry: _ _

11. Occupation: _ _

12. Status of non-working people:

[] 1 Students
[] 2 Housekeeping
[] 3 Awaiting school enrollment
[] 4 Awaiting job assignment in city/town
[] 5 Retired
[] 6 Disabled/aged
[] 7 Others

13. Marital status:

[] 1 Never married
[] 2 Married
[] 3 Widowed
[] 4 Divorced

14. No. of children ever born and now living:

Women age 15-64.

a) Children born alive:
Male: _____
Female: _____

b) Children living at present:
Male: _____
Female: _____

15. Birth since Jan. 1, 1989:

Women age 15-49.

[] 0 No birth
[] 1 Baby boy born in the 1st half 1989
[] 2 Baby girl born in the 1st half 1989
[] 3 Baby boy born in the 2nd half 1989
[] 4 Baby girl born in the 2nd half 1989
[] 5 Baby boy born in the 1st half 1990
[] 6 Baby girl born in the 1st half 1990