Republic of Colombia
XVI National Population and V Housing Censuses
October 24, 1993
Census Form Number 1
National Statistics Administrative Department
If this is an additional form, mark this box with an X.
Paste the sticker with the A.E. number here. If you do not have the sticker, copy the number.
A.E. _ _ _ _ _ _
Ask how many groups of persons that cook separately are in the dwelling. Find out if the access for each household in the dwelling is independent to determine the number of dwellings and the number of households. Fill out one form for each household. In each case, assign an order number of the dwelling and the number of the household within the dwelling.
2. _ _ Number of the household within the dwelling.
3. ____ Neighborhood
4. ____ Address
5. ____ Name of the farm, administrative section, administrative unit or precinct
8. Predominant material in the exterior walls:
 2 Pressed mud [similar to adobe]
 3 Cane with earth (bahareque)
 4 Coarse Wood
 5 Reeds, Cane, grass, other types of vegetable material
 6 Zinc, cloth, cardboard
 7 Without walls
Person Number _ _
Given names and last names ________
If there are more than ten persons, use the addition forms as needed and do not forget to mark them with an X on the first page.
 1 Yes. Add this person(s) to the list.
 2 No
 2 No
22. Total residents of the household _ _
-Those who live in the home, but at the time of the census were absent in or outside of the country and who do not have a separate residence. This is the case for traveling workers, persons who are on vacation, in the hospital, or merchant marines.
-In general, all of the persons who belong to the home, such as domestic employees, renters, relatives, etc., who do not have a separate residence in another place.
-Remember that the persons who on the census of the prison, enlisted in military service in the Army, Air Force, or Navy, boarding school, asylums, convents, monasteries, or work camps should not be registered in this form.
Name of census taker
Given and last names ____
Given and last names ____
25. What is the person's relationship to the head of the household?
 2 Spouse
 3 Child
 4 Son- or daughter-in-law
 5 Grandchild
 6 Parents or parents-in-law
 7 Other relative
 8 Domestic employee
 9 Other non-relative
28. Does the person have any of these limitations?
 1 Loss of hearing
 1 Mute
 1 Retardation or mental deficiency
 1 Paralysis or missing upper appendages
 1 Paralysis or missing lower appendages
 2 None of the above limitations
[Numbering shown as appears in the original language form]
34. What is the highest level of education that he/she attended?
 2 Primary
 3 Secondary
 4 University (Continue with F 3)
 5 Graduate studies (Continue with F 3)
 6 None (Continue with F 3)
35. How many years did he/she complete in this level?
37. Principal activity of last week -- you . . .
 2 Looked for work for the first time (continue with F 4)
 3 Did not work, on vacation or leave or other reason
 4 Worked
 5 Student (continue with F 4)
 6 Household domestic duties (continue with F 4)
 7 Disabled (continue with F 4)
 8 Retired (continue with F 4)
 9 Other situation (continue with F 4)
43. In what year was your last child born (live birth)?
 1 January
 2 February
 3 March
 4 April
 5 May
 6 June
 7 July
 8 August
 9 September
 10 October
 11 November
 12 December