Republic of Costa Rica
General Directorate Of Statistics and Censuses
National Censuses - May 1973
III of Housing
VII of Population
____ Zone number
____ Section number
_ _ _ _ Dwelling number (visit order)
____ Neighborhood or hamlet
____ Highway, route, etc.
____ Avenues (numbers)
____ Streets (names)
____ Institution (name)
2. Occupancy - tenure - rental
 2 X other (specify)
 4 For sale
 5 Summer home
 6 Under repair
 7 Under construction
 8 Other (specify) ____
8. Water supply
 2 For this and other dwellings
 4 For this and other dwellings
 6 Public source
 7 Other (specify) ____
10. Type and use of toilet facilities
 1 For this and other dwellings
 3 For this and other dwellings
 5 For this and other dwellings
 7 For this and other dwellings
 9 For this and other dwellings
____ Date of enumeration
____ Date of review
Comments: [5 blank lines]
[End of table headings]
2. Relationship to the head:
When using the "other relatives" space, specify the relationship- circle 3
When using the "other non-relatives" space, specify the relationship- circle 5
In this column, put only information pertaining to the "Head of the Census Family" or "Head of the Non-Family Group."
 2 Son (Daughter)
 3 Other relatives (specify) ____
 4 Servants and their relatives
 Other non-relatives (specify) ____
7. Current marital status: Mark only one circle.
Married: one who contracted matrimony and lives in that state.
Widowed: one who has not contracted matrimony since the death of a spouse, nor lives in a consensual union.
Divorced: one who is legally separated and has neither remarried nor lives in a consensual union.
Consensual union: one who lives in a marital union.
Married separated: one who contracted matrimony and lives separately from the spouse, and does not live in a consensual union.
 2 Married
 3 Widowed
 4 Divorced
 5 Consensual union
 6 Married separated
8. Habitual place of residence 5 years ago.
Mark the circle "Here" if the person has lived in this canton for five or more years.
If the person lived in another canton or country in Mary 1968, write the name of the canton or country.
9. Place of birth
If the mother lived in another canton write that canton. If the mother lived abroad write the country.
15. Level of instruction
If the person has not completed any grade, mark the circle 40.
2 Middle (secondary) ____
3 University ____
 40 No grade
17. Activity status.
 2 Did not work
 3X Looked for work for the first time
 4X Student
 5X Household duties
 6X Pensioner or rentier
 9X Others (specify) ____
18. Principal occupation
If the status was "did not work," write the last occupation held.
Do not forget to write the answer according to the instructions on page 47 of the Enumerator's Manual.
____ _ _ _
If the status was "did not work," write the type of establishment in which the most recent occupation was pursued. Do not forget to write the answer according to the instructions on page 47 of the Enumerator's Manual.
____ _ _ _ _
Wage per ____
Comments: [2 blank lines]