VI National Census of Population and Housing 1981
Dominican Republic
General Instructions:
Read the questions exactly as they appear on the form.
Do not make any notations before receiving the replies.
Fill in the appropriate circle according to the response given with a pencil, without going outside of the lines. Do not mark with an X.
On questions with more than one possible response, one and only one should be marked.
Write in responses on the unbroken lines.
Follow the special instructions which are given in some questions for writing and filling in a circle at the same time.
If you make a mistake, erase. Do not cross off.
Do not fill in any shaded area of the form.
_ _Municipality or Municipal District
_ _Urban Zone or Section
_ _ _Segment
_ _C. P.
_ _ _Supervision area
_ _B/P
_ _ _Block
_ _Dwelling order number enumerated
_ Household order number
Chapter I. Geographic Identification
_ _ Municipality or Municipal District
_ _ Urban Zone or Section
_ _ _ Segment
____ Municipality or Municipal District
____ Polygon number
____ C.P.
____ Supervision area number
____ B.P.
____ Block number
____ House number
____ Dwelling order number of the enumerated dwelling
Chapter II. Identification of the Household
1. Do the people who live in this household have a common budget for food?
[] 2 No
2. How many groups of people or single people have a separate budget for food?
____ How many do not have a separate exit?
4. ____ Order number of the household within the dwelling
Chapter III. Identification of Agricultural and Livestock Producers
5. Does anyone live here who has a planted field or who has harvested during the last 12 months?
____ Name of the person [lines for up to three people]
Amount of land being worked
____ Harvested during the last 12 months
6. Does anyone live here who has any animals?
____ Name of the person [lines for up to three people]
Number of animals
____ Sheep, goats
____ Ducks, turkeys, geese, rabbits
____ Hens, roosters, chickens, guinea fowl
____ Beehives
____ Supervisor's name
____ Signature
____ Enumerator's name
____ Signature
Chapter IV. Dwelling Information
[] 2 Apartment
[] 3 Room in a tenement
[] 4 Others
[] 6 Barracks and prisons
[] 7 Hospital, health center or clinic
[] 8 Religious institutions and boarding schools
[] 2 With people absent
[] 4 For rent
[] 9 Others
9. Is this a summer home or for occasional use?
[] 2 No
[] 2 Wood
[] 3 Cement block or concrete
[] 4 Tile (tejamanil)
[] 5 Asbestos-cement
[] 6 Yagua palm
[] 7 Zinc
[] 8 Corrugated cardboard (Cartón piedra)
[] 9 Others
[] 2 Asbestos-cement
[] 3 Cane
[] 4 Yagua palm
[] 5 Concrete
[] 6 Tiles
[] 7 Zinc sheets
[] 9 Others
[] 2 Earth
[] 3 Wood
[] 4 Mosaic, granite or marble
[] 5 Brick
[] 9 Others
[] 2 Outside of the dwelling
[] 3 Does not have
[] 2 Propane gas
[] 3 Charcoal
[] 4 Kerosene
[] 5 Electricity
[] 6 Others
[] 9 Do not cook
[] 2 Private system
[] 3 From the CDE and a private system
[] 4 From a generator exclusive to the dwelling
[] 5 From the CDE and a generator exclusive to the dwelling
[] 6 Propane gas lamp
[] 7 Kerosene gas lamp
[] 9 Others
[] 2 Inside the dwelling and water does not arrive
[] 3 Outside the dwelling but within 100 meters
[] 4 Does not have
[] 2 Aqueduct and cistern
[] 3 Spring
[] 4 River or stream
[] 5 Rain, collection tank
[] 6 Well
[] 7 Tank truck
[] 9 Others
[] 2 Toilet connected to a septic tank
[] 3 Toilet of unknown connection
[] 4 Latrine
[] 5 Does not have
[] 2 No
[] 2 Outside of the dwelling
[] 3 Does not have
[] 2 No
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9 or more
[] 2 In 1979
[] 3 In 1980
[] 4 In 1981
20. Administration of the dwelling
[] 2 No
[] 3 Doesn't know
[] 2 Another institution picks it up
[] 3 Thrown in the yard or in another place
[] 4 Incinerated
[] 9 Other form
22. Rooms occupied by the household
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9 or more
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9 or more
[] 2 Owned, paying
[] 3 Rented
[] 4 Sub-rented
[] 5 Ceded
[] 9 Other form
24. Appliances
Which of the following appliances does this household have?
[] Non-electric
[] Does not have
[] 1
[] 2
[] Non-electric
[] Does not have
[] 1
[] 2
[] Non-electric
[] Does not have
[] 1
[] 2
[] Does not have
[] 1
[] 2
[] Does not have
[] 1
[] 2
[] Non-electric
[] Does not have
[] 1
[] 2
[] Non-electric
[] Does not have
[] 1
[] 2
[] Does not have
[] 1
[] 2
[] Does not have
[] 1
[] 2
[] Non-electric
[] Does not have
[] 1
[] 2
[] Non-electric
[] Does not have
[] 1
[] 2
[] Does not have
[] 1
[] 2
[] 2 No
Chapter VI. Composition of the household
Write the name and surname of each of the people in the household who habitually live in this dwelling. Write as well the name and surname of people who do not habitually live in this dwelling, but who slept here the night before the day of the census. (Be sure to include children, newborn infants, and elderly persons.)
Spouse or partner of the head
Unmarried children (list in order of age)
Married children (list in order of age)
Spouse or partner of children
Parents and parents-in-law
Grandchildren
Other relatives (brother, brother-in-law, uncle, etc.)
Domestic servants
Other non-relatives
[] Absent resident
[] Non-resident
[] Female
26. Is there anyone recently born not listed?
27. Is there any person listed who has a residence in another dwelling and slept here the night before the day of the census?
28. In addition to the people listed, is any member of this household who habitually lives in this dwelling absent (due to vacation, work, business or illness)?
29. In addition to the people listed, is there any other person who does not habitually live in this dwelling, but who slept here the night before the day of the census?
Comments
(This summary includes only present residents plus absent residents)
____ Males
____ Females
____ Total individuals 18 years of age and older
Chapter VII. Personal characteristics
[] 2 Absent resident
[] 3 Non-resident
For all individuals[Applies to questions 30-40.]
30. What is the relationship or link of the interviewed person to the head of the household?
[] 2 Spouse or companion
[] 3 Child
[] 4 Parents or parents-in-law
[] 5 Grandchild
[] 6 Spouse or companion of child
[] 7 Other relatives
[] 8 Domestic servants
[] 9 Other non-related
[] 2 Female
32. What is your date of birth?
____ Month
____ Year
If a year or more old, write only the age in years completed. If less than one year old, write the age only in months completed.
33. Where were you born?
(Fill in the circle here if born in the same place, city, section or rural location (paraje) where enumerated.)
____ Municipality or Municipal District
____ Province
Only for foreigners [Applies to question 34.]
34. Do you habitually live in this country?
35. Do you habitually live in this dwelling?
[] 2 No
36. Is there anyone in the dwelling where you habitually live who can provide your information?
[] 2 No
37. Where do you habitually live?
____ Municipality or Municipal District
____ Province
____ Country
[] 2 No
[] 3 Doesn't know
39. Does the interviewed person have any of the following disabilities?
(More than one option may be marked)
[] 2 Deaf
[] 3 Mute
[] 4 Physical disability
[] 5 Mental disability
[] 6 Doesn't have
40. According to physical characteristics and accent when speaking, the enumerated person is:
[] 2 Haitian
[] 3 Other nationality
For individuals 5 years of age and older [Applies to questions 41-47.]
41. Where did you live in 1976? (Fill in the circle Here is living in the same place, city, section or paraje in 1976).
____ Municipality or Municipal District
____ Province
B. Educational Characteristics
42. Are you able to read and write?
(If only able to read or only able to write, mark the circle No)
[] 2 No
43. Do you currently attend or did you attend any establishment of regular schooling?
[] 2 Private
[] 3 Not attending but did attend
[] 4 Never attended
[] 9 Unknown
Only for those who answered attending, or not attending but did attend, in question 43. [Applies to questions 44 - 46]
44. What is the highest level that you studied or are studying?
[] 2 Primary
[] 3 Intermediate
[] 4 High school
[] 5 Reformed secondary (media de la reforma)
[] 6 University
[] 9 Unknown
45. Did you complete this level?
[] 2 No
46. What is the highest grade or year completed at this level?
____ Semester or ____ trimester
Only for those who answered University in question 44.[Applies to question 47.]
47. What title/degree did you obtain, or what major did you pursue or are you pursuing?
For individuals 10 years of age and older[Applies to questions 48-50.]
48. Do you currently attend or did you attend any center of vocational, technical, or commercial training?
[] 2 Not attending but did attend
[] 3 Never attended
[] 9 Unknown
(Only for those who answered that they are attending, or not attending but did attend in question 48).[Applies to questions 49-50.]
49. What course of studies did you pursue or are you pursuing?
50. Did you complete this course of studies?
[] 2 No
For individuals 10 years of age and older[Applies to questions 51-64.]
51. Did you do any work or did you have a job during the last week?
(Even if you did not attend for reason of vacations, illness, etc.)
[] 2 No
52. Did you receive or will you receive pay for any work done in your home or outside of it during the last week?
[] 2 No
53. Did you look for work during the last week?
[] 2 No
54. During the last week, did you engage in any unpaid work in your house or in any establishment?
[] 2 No
55. If you did not work, what did you do during the majority of your time during the last week?
[] 2 Took care of the household
[] 3 Lived from income (rentier)
[] 4 Retired or pensioner
[] 9 Other
56. Have you previously done any work for which you received payment in money?
[] 2 No - Skip to question 65
57. How long have you been without work?
[] 2 From 7 to 11 months
[] 3 For 12 months or more
58. How many hours did you work last week in all of your jobs?
(For those who were ill or on vacation, etc., give the hours normally worked per week.)
59. For whom did you principally work last week, or when you last had a job?
60. What does the organization, company, business or agricultural enterprise in which you work (or worked) do?
61. What is the occupation, job or position that you hold or held in the place where you work or worked?
62. In this job are or were you a:
[] 2 Private sector employee
[] 3 Employer or owner
[] 4 Own-account worker
[] 5 Unpaid family worker
[] 6 Worker in a family home
[] 9 Other (specify) ____
63. How much did you earn in your principal job or employment during the year 1980, or during the last month?
64. How much did you earn total from all sources during the year 1980, or during the last month?
For individuals 12 years of age and older[Applies to question 65.]
65. Are you currently in a consensual union, married, separated, divorced, widowed, or single?
[] 2 Married
[] 3 Separated
[] 4 Divorced
[] 5 Widowed
[] 6 Single
For women 12 years of age and older [Applies to questions 66-72.]
66. How many children born alive have you had in total?
____ Males
____ Females
67. What was the date of the birth of your last child born alive, regardless of whether this child is currently alive or dead?
____ Year
[] 2 Deceased
[] 9 Unknown
69. How many currently live in the country?
____ Males
____ Females
70. How many currently live abroad?
____ Males
____ Females
71. Of how many do you not know the place of residence?
____ Males
____ Females
____ Males
____ Females