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Population, Housing and Establishment Census 1996

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: ____

Housing conditions

Apartment

Type of housing unit

[] 1 Apartment
[] 2 More than one apartment
[] 3 Villa
[] 9 Other

Occupancy status

[] 1 Rented
[] 2 Furnished
[] 3 Owned
[] 6 Granted
[] 7 Other

Source of water

[] 1 Piped public system
[] 2 Pump
[] 3 Well
[] 9 Other

Water supply system

[] 1 Tap inside house
[] 2 Tap inside building
[] 3 None

Main type of lighting

[] 1 Electricity
[] 2 Kerosene
[] 3 Butane
[] 4 Other

Fuel and energy used

[] 1 Butane
[] 2 Natural gas
[] 3 Kerosene
[] 4 Electricity
[] 5 Other

Number of rooms ____

Monthly rent ____

Facilities

Kitchen

[] 1 Private
[] 2 Shared
[] 3 None

Bathroom

[] 1 Private
[] 2 Shared
[] 3 None

Separate bathroom

[] 1 Private
[] 2 Shared
[] 3 None

Separate toilet

[] 1 Private
[] 2 Shared
[] 3 None

Domestic appliances

[] 1 Electric refrigerators
[] 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

[] 1 Motor car
[] 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

____ [Person No. 1 is "Head of the H.H."]

3. Sex

[] 1 Male
[] 2 Female

4. Religion

[] 1 Moslem
[] 2 Christian
[] 3 Jewish
[] 4 Other

5. Nationality ____

6. Birth date or age (completed years)

Date ____
Age ____

7. Educational status or last educational certificate
[Question 7 was asked of persons 10 years and over.]

[] 1 Under age
[] 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

[] 1 Under age
[] 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

[] 1 Under age
[] 2 Governmental
[] 3 Public
[] 4 Private
[] 5 Foreign
[] 6 Not working

11. Industry ____

12. Main occupation ____
[Question 12 was asked of persons 15 years and over.]

13. Marital status

[] 1 Underage
[] 2 Never married
[] 3 Married
[] 4 Engaged
[] 5 Divorce
[] 6 Widowed

14. Number or current wives ____

15. Type of disability ____

16. Place of usual residence

City/ Village: ____
District/Markaz: ____
Governorate: ____

17. Place of birth ____

18. Place of work or study ____

19. Previous residence prior to the present ____

20. Cause of changing previous residence

[] 1 Work
[] 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 ____

1. Age at first marriage ____

2. Total marital duration ____

3. Order of current or last marriage ____

4. Number of live births from all marriages

Male ____
Female ____

5. Number of survival births residing with the household

Male ____
Female ____

6. Number of survival births not residing with the household

Male ____
Female ____

Summary of household data

Male ____
Female ____

Number of household members ____

Religion

Moslem: Males _ Females_
Christian: Males _ Females _
Other: Males _ Females _

Age groups

Less than 6 years: Males _ Females _
6-9 years: Males _ Females _
12-64 years: Males _ Females _
65 years and over: Males _ Females _

Educational status

Illiterate: Males _ Females _
Literate: Males _ Females _
Less than university degree: Males _ Females _
University degree: Males _ Females _

Employment status

Employed: Males _ Females _
Unemployed: Males _ Females _

Marital status

Never married: Males _ Females _
Married: Males _ Females _
Divorced: Males _ Females _
Widowed: Males _ Females _