Enumeration date
18/19 Nov. 1996
Household and Housing Condition Questionnaire
Governorate: ____
City: ____
District/Markaz: ____
Shyakha/Village: ____
Enumeration area number: ____
Road/Hamlet name: ____
Road/Hamlet number: ____
Block number: ____
Building number or owner's name: ____
Census building number: ____
Household serial number: ____
Type of housing unit
[] 2 More than one apartment
[] 3 Villa
[] 9 Other
Occupancy status
[] 2 Furnished
[] 3 Owned
[] 6 Granted
[] 7 Other
Source of water
[] 2 Pump
[] 3 Well
[] 9 Other
Water supply system
[] 2 Tap inside building
[] 3 None
Main type of lighting
[] 2 Kerosene
[] 3 Butane
[] 4 Other
Fuel and energy used
[] 2 Natural gas
[] 3 Kerosene
[] 4 Electricity
[] 5 Other
Kitchen
[] 2 Shared
[] 3 None
Bathroom
[] 2 Shared
[] 3 None
Separate bathroom
[] 2 Shared
[] 3 None
Separate toilet
[] 2 Shared
[] 3 None
Domestic appliances
[] 2 Electric washing machine
[] 3 T. V. black and white
[] 4 T. V. color
[] 5 Cooker
[] 6 Water heater
[] 7 Deep freezer
[] 8 Video
[] 9 Air conditioner
[] 10 PC
[] 11 Dish
[] 12 None
Means of transportation owned
[] 2 Motorcycle
[] 3 Cycle non-motorized
[] 8 None
Individual data
Person number 1
[In the following section, space is given for answers from up to five household members' answers. Not shown here. See original document for details.]
1. Name (Full)
2. Relationship to the head of the household
4. Religion
[] 2 Christian
[] 3 Jewish
[] 4 Other
6. Birth date or age (completed years)
Age ____
7. Educational status or last educational certificate
[Question 7 was asked of persons 10 years and over.]
[] 2 Illiterate
[] 3 Read and write (literate)
[] 4 Certificate
Persons six years and over
[Questions 8-11 were asked of persons 6 years and over.]
8. Employment status
[] 2 Employer
[] 3 Self-employed
[] 4 Employee
[] 5 Unpaid worker
[] 6 Seeking work (old)
[] 7 Seeking work (new)
[] 8 Student
[] 9 Housewife
[] 10 Not willing to work
[] 11 Retired
[] 12 Aged not working
[] 13 Unable to work
9. Name of establishment the person is working in ____
10. Sector
[] 2 Governmental
[] 3 Public
[] 4 Private
[] 5 Foreign
[] 6 Not working
12. Main occupation ____
[Question 12 was asked of persons 15 years and over.]
13. Marital status
[] 2 Never married
[] 3 Married
[] 4 Engaged
[] 5 Divorce
[] 6 Widowed
14. Number or current wives ____
16. Place of usual residence
District/Markaz: ____
Governorate: ____
18. Place of work or study ____
19. Previous residence prior to the present ____
20. Cause of changing previous residence
[] 2 Study
[] 3 Marriage
[] 4 Divorce/Widowed
[] 5 Accompanied
[] 6 Other
[] 7 No change
21. Duration of residence prior to the present ____
Ever-married women
[Questions 1-6 were asked only of married women.]
Individual data
Person number ____
2. Total marital duration ____
3. Order of current or last marriage ____
4. Number of live births from all marriages
Female ____
5. Number of survival births residing with the household
Female ____
6. Number of survival births not residing with the household
Female ____
Summary of household data
Female ____
Number of household members ____
Christian: Males _ Females _
Other: Males _ Females _
6-9 years: Males _ Females _
12-64 years: Males _ Females _
65 years and over: Males _ Females _
Literate: Males _ Females _
Less than university degree: Males _ Females _
University degree: Males _ Females _
Unemployed: Males _ Females _
Married: Males _ Females _
Divorced: Males _ Females _
Widowed: Males _ Females _