Dominican Republic
National Census of Population and Housing 1970
For households of one to six people
____ Province
____ Municipality or municipal district
____ City (for urban areas)
____ Section (for rural areas)
____ Rural location (paraje)
____ Zone number
____ Form number
____ Control sheet number
____ Enumerator?s name
____ Group leader?s name
____ Critic?s name
____ Coder?s name
____ Transcriber?s name
____ Verifier?s name
Fill in this page last, after having obtained all of the information on the form.
____ Province
____ Municipality or municipal district
____ City (for urban areas)
____ Section (for rural areas)
____ Zone number
____ Form number
People enumerated on this form:
____ Females
____ Total
I. Characteristics of the dwelling
1a) ____ Number of dwellings in this building
1b) ____ Number of households that share this dwelling
1c) ____ Total number of rooms in this dwelling
1d) ____ Number of rooms used habitually for sleeping
[] 2 Apartment
[] 3 Mobile home
[] 4 Regular rustic dwelling
[] 5 Provisional (improvised) dwelling
[] 6 Permanent structure not intended for habitation
[] 7 Other place not intended for habitation
3. Collective dwellings (group quarters)
[] 9 Institutions (barracks, regiments, prisons, boarding schools, hospitals clinics, religious communities, etc.)
[] 10 Batey [A special plaza around which Indians built their homes]
[] 11 Encampment
[] 12 Other collective dwelling
4. Main construction materials
[] 2 Cement block
[] 3 Brick
[] 4 Wood
[] 5 Palm
[] 6 Zinc
[] 7 Tile
[] 8 Other
[] 2 Granite
[] 3 Cement
[] 4 Brick
[] 5 Wood
[] 6 Earth
[] 7 Other
[] 2 Tile (tejamanil)
[] 3 Asbestos
[] 4 Zinc
[] 5 Cane
[] 6 Yagua palm
[] 7 Other
[] 2 Inside the dwelling, from another source
[] 3 Outside the dwelling, from the public drinking water system
[] 5 From a river, stream or spring.
[] 6 From another source(specify) ____
[] 2 Gas (kerosene)
[] 3 Candle
[] 4 Other (specify)____
[] 2 Without running water
[] 3 Without a bathroom
[] 2 For 2 or more census households
[] 2 Latrine
[] 3 None
[] 2 For 2 or more census households
[] 2 Does not have a kitchen
[] 2 Stovetop burner(s)
[] 3 Portable stove (anafe)
[] 4 Fireplace/fire pit
[] 2 Liquid gas (with a cylinder)
[] 3 Gas (kerosene)
[] 4 Charcoal
[] 5 Wood
II. Ownership/tenure
(This information should be obtained separately for each of the households that share this dwelling.)
____ $RD Monthly rent
____ $RD Monthly rent
People who make up the census household
List in this table the people who spent the night in the household the night of the 8th to the 9th of January.
_____
_____
_____
[] No
a) Obtain the data appearing on the following pages of this census questionnaire with regard to each and every person listed in this table.
b) Make an X through the number corresponding to the informant.
c) Ensure that for question number 17 on fertility (Population Questionnaire), the information is given by the mother of the children listed.
All persons [Applies to questions 1-5]
1. Names and surnames of the enumerated person. What is the name of the enumerated person? Please tell me your/his/her complete name.
____ Surnames
2. Sex. Tell me whether the enumerated person is a male or a female.
[] 2 Female
3. Age. How old in years completed is the enumerated person? If under 1 year, how old in months is the enumerated person?
____ Years completed
____ Months
4. Relationship to the head of the household. What is the relationship of the enumerated person to the head of the household?
[] 2 Wife
[] 3 Partner
[] 4 Child
[] 5 Spouse of child
[] 6 Partner of child
[] 7 Other relative
[] 8 Domestic servant
[] 9 Not related
5. Legal marital status. What is the legal civil marital status of the enumerated person?
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 5 Legally separated
[] 6 Annulled
Persons 15 years of age and older [Applies to question 6.]
6. De facto conjugal status. Does the enumerated person live in a consensual union with any person? Of how many years? duration is the union?
Persons 5 years of age and older [Applies to questions 7-10]
7. Literacy. Is the enumerated person able to read and write?
[] 2 No
8. Level of schooling. At what level were the last studies undertaken by the enumerated person? Vocational schooling (commercial, industrial, teacher-training, and in agricultural institutes) should be classified as ?secondary.?
[] 2 Pre school
[] 3 Primary
[] 4 Intermediate
[] 5 Secondary
[] 6 Higher
[] 7 Not specified
9. Last grade completed. What was the highest grade completed by the enumerated person in the level indicated?
[] 2 Second
[] 3 Third
[] 4 Fourth
[] 5 Fifth
[] 6 Sixth
[] 7 Seventh
[] 8 Eighth
10. School attendance. Is the enumerated person currently enrolled? (Studying in any primary school, high school, or university?)
[] 2 No
All persons [Applies to question 11.]
Persons 10 years of age and older [Applies to questions 12-16]
12. Occupation condition [economic activity] of the enumerated person. What was the occupational condition of the enumerated person between the 1st and the 9th of this January, according to the options I am going to read to you?
(Read the list to the right)
[] 2 Unemployed
[] 3 Seeking first job
[] 4 Household duties
[] 5 Student
[] 6 Renter
[] 7 Retired or receiving pension
[] 8 Disabled or institutionalized
[] 9 Other (specify) ____
Ask questions 13-16 only of those who answered 1 or 2 in question 12.
13. Occupation. What was your occupation between the 1st and the 9th of this January? Examples: Agricultural worker, primary school teacher, concho driver. For those currently unemployed, write the most recent occupation.
14. Industry. In what activity does the business, industry, office or farm where the enumerated person works engage? (Examples: agricultural enterprise, sugar production). For those unemployed, write the type of industry of the business, etc. where last employed.
15. Occupational category. What is the category of the enumerated person within the occupation, according to the list that I am going to read to you? For the enumerated person without work (unemployed), write the category corresponding to the most recent occupation.
[] 2 Self employed
[] 3 Salaried or waged employee (including domestic servants and paid family workers)
[] 4 Unpaid family worker
16. Habitual occupation. What was the habitual occupation of the enumerated person (the one of longest duration) during the last year?
17. Fertility (Only for women 15 years of age or older of whatever marital status)
b) How many children of the enumerated person are currently alive? (Even though they may not live in this household)
c) (Only for women 15 to 49 years of age) How many children were born alive to the enumerated person during 1969?
b) ____ Number of children currently alive
c) ____ Number of children born alive during 1969