IV Census of Population
and
III of Housing
November 14th, 1982
[In the original document 14th is crossed out and 28th is written.]
____ Dwelling number (visit order)
I - Geographic location
____ 1. Province
____ 2. Canton
____ 3. Parish
____ 4. Name of the City or Parish head
____ 5. Name of the locality
____ 6. Zone number
____ 7. Sector number
____ 8. Block number
____ 9. Enumeration area number
10. Home address:
____ Lot number
____ Floor number
____ Apartment number
____ Route or highway
1. Dwelling type
[] 02 Apartment
[] 03 Rooms in a tenement
[] 04 Mediagua (small unit with sloped roof )
[] 05 Rancho (poor construction possibly with cane or straw roof) or shack (covacha)
[] 06 Rustic cabin (choza)
[] 07 Others
[] 08 Places not intended for use as a dwelling
[] 12 Military or police barracks
[] 13 Hospital, clinic, etc.
[] 14 Convent, religious institution
[] 15 Others
If a collective dwelling, skip to questions on population.
2. Occupancy of the dwelling
[] 2 Occupied, with people absent
[] 3 Unoccupied
[] 4 Under construction
3. Predominant materials in the dwelling
[] 2 Asbestos (Eternit), Ardex or similar
[] 3 Zinc or similar
[] 4 Tile
[] 5 Straw or similar
[] 6 Other materials
[] 2 Adobe or mud wall (tapia)
[] 3 Wood
[] 4 Covered cane
[] 5 Uncovered cane
[] 6 Other materials
[] 2 Parquet, floor tile or vinyl
[] 3 Brick or cement
[] 4 Cane
[] 5 Earth
[] 6 Other materials
4. Tenure of the dwelling
[] 1 Owned
[] 2 Rented
[] 3 Free
[] 4 For services
[] 5 Other (for example, sharecropping)
5. Water is supplied to the dwelling via:
[] 2 Outside the dwelling but within the building
[] 3 Outside of the building
[] 5 River or stream
[] 6 Delivery truck
[] 7 Other
6. What toilet facilities (W.C.) are available in the dwelling?
[] 2 Shared use toilet
[] 3 Latrine
[] 4 None
7. The wastewater elimination system for this dwelling is:
[] 2 Septic tank
[] 3 None
8. The electric service available in the dwelling is:
[] 2 From private generator
[] 3 None
9. How many rooms in total does the dwelling have?
10. Of these rooms, how many are used exclusively for sleeping?
11. Does the dwelling have a separate room for cooking?
[] 2 No
12. What is the primary fuel used for cooking?
[] 2 Wood or charcoal
[] 3 Gas
[] 4 Electricity
[] 5 Other
[] 6 None (no cooking)
13. Is any part of the dwelling used for handcrafts, small industry, business or other activities?
[] 2 Only small industry
[] 3 Only business
[] 4 Business and handcrafts
[] 5 Business and small industry
[] 6 Other activities
[] 7 Dwelling only
____ Name of enumerator
____ Date
____ Name of sector head
____ Date
Comments: ____
[The following is a table with space for the responses of three people. Except for question 2, the response options for all people are the same.]
1. What is the name and surname of each person who spent the night of the 13th to the 14th of November in this household? Do not forget to note infants and the elderly
2. What is your relationship to the head of the household? Mark the appropriate box.
[] 2 Son/daughter
[] 3 Son- or daughter-in-law
[] 4 Grandchild
[] 5 Parents or parents-in-law
[] 6 Other relatives
[] 7 Other non-relatives
[] 8 Domestic employee [explicitly female]
3. Are you male or female? Mark the appropriate box.
[] 2 Female
4. How old are you?
____ Years completed
5. Where were you born?
[] 00 Here
____ Rural parish or city
____ Province
____ Foreign country
[] 99 Unknown
6. In what rural parish or city do you habitually live?
[] 00 Here
____ Rural parish or city
____ Province
____ Foreign country
[] 99 Unknown
7. How long have you lived in the place indicated?
[] 98 Always (Skip to question 9)
8. In what rural parish or city did you live before?
____ Rural parish or city
____ Province
____ Foreign country
[] 99 Unknown
B. Educational characteristics.
For all individuals 6 years of age and older
9. Do you know how to read and write?
[] 1 Yes
[] 2 No
10. Do you attend any institution of regular schooling, whether a literacy center, primary, secondary, or post-secondary (superior)?
[] 2 Not attending
[] 9 Unknown
11. What is the highest grade, class or year of schooling completed in the literacy center, primary, secondary, or post-secondary school?
[] 00 None
____ 1. Literacy center
____ 2. Primary
____ 3. Secondary
____ 4. Post-secondary
[] 99 Unknown
For all individuals 12 years of age and older
12. Are or were you a participant in the social security?
[] 4 No
13. What did you do the greater part of the days between the 7th and the 13th of November?
[] 1 Worked?
[] 2 Did not work but had a job?
[] 3 Unemployed? (Looked for work having worked before)
For responses 1-3, continue with question 14
[] 4 Looked for work for the first time?
[] 5 Studied exclusively?
[] 6 Did household tasks exclusively?
[] 7 Exclusively retired or pensioner?
[] 8 Others
[] 9 Unknown
For responses 4 - 9, women skip to 17, men skip to 21
Questions 14 - 16 are only for those who answered 1, 2, or 3 in question 13.
14. What is the occupation that provided the greatest income in the days from November 7th to 13th, or what was your last occupation if unemployed?
____ [In addition to the space for the response, a blank, 3-character box also appears in the corner of this item.]
15. What does the establishment where you engage in the occupation indicated primarily do?
____ [In addition to the space for the response, a blank, 3-character box also appears in the corner of this item.]
16. What was the category or position in the occupation indicated?
[] 1 Owner or active partner?
[] 2 Own-account?
Worker or salaried employee?
[] 3 Public sector
[] 4 Private sector
[] 5 Unpaid family worker?
[] 6 Others
[] 9 Unknown
Only for women 15 years of age and older
17. How many children born alive have you had?
18. Of these children, how many are currently alive?
19. What was the date of birth of your last child born alive?
19_ _ Year
20. Is your last child currently alive?
[] 2 No
[] 9 Unknown
E. Marital Status
For all individuals 12 years of age and older
21. Are you in a consensual union, single, married, divorced, widowed, or separated?
[] 2 Single
[] 3 Married
[] 4 Divorced
[] 5 Widowed
[] 6 Separated
[] 9 Unknown