Census of Population-Fiji
13 September, 1976

A.
1. Name of island ____
2. Province ____
3. Tikina ____
4. Enumerator's Area No. ____
5. Name of:

____ Town
____ Village
____ Settlement

6. Street and house No. ____
7. Schedule No. ____

B.

For all persons
[Questions 1-11.]

1. Name

Write full name in block capitals.
Fijians, surname/family name first.
Indians, personal name first plus father's name
Others, surname/family name first
____

2. Relationship to head of household: for example, wife, son, visitor, etc.

____

3. Sex

Write M for males and F for females.
____

4. Date of birth

Write day/month/year. If date unknown estimate year of birth and write year only
____ Day
____ Month
____ Year

5. Ethnic origin

Is this person Chinese or Part-Chinese, European, Fijian, Indian, Part-European, Rotuman, Tongan, etc.?
____

6. Place of birth

If born outside Fiji, write country. If born in Fiji, write name of province and town, village or settlement. If born in hospital, state locality where mother lived at time of birth.
____

7. Previous residence
Where was [the person] living when Fiji became independent in October 1970?

If outside Fiji, write country. If in Fiji, write name of province and town, village or settlement. If not born, write NB.
____

8. Real father
Is the [person's] real father still alive?

Write Alive or Dead
____

9. Real mother
(a) Is [the person's] real mother still alive?

Write Alive or Dead
____

(b) Is [the person's mother] present?

If present in household write person number. If alive but not present write NP.
____

10. Education
State highest level of education attained.

Write class, form or full-time post-secondary courses completed.
____

State if attending school this year.

Write Yes or No.
____

11. Religion

Write exact denomination or sect.
_____

For all persons born in 1962 and before

[Questions 12-16 were asked of all persons born in 1962 and before.]

12. Type of activity last week

State whether the person was working last week; normally working but sick, holiday, etc.; unemployed looking for work (exp/inexp); other, specify housewife, student, disabled, etc.
____

13. Occupation last week

State kind of work done, giving job title if in employment
____

14. Industry last week

State kind of business, industry or service.
Write name of company, firm, organization if person is employed. If large company or government department state branch or section.
Write "self" if own business or farm.
____

15. Employment status last week

State whether employer, self employed, government wage or salary, private wage or salary, unpaid family worker or other.
____

16. Marital status
(a) Has [the person] ever been married?

Write Yes or No
____

(b) If yes is [the person] now married (M), widowed (W), or divorced or separated (D)?

____

(c) Has [the person] been married more than once?

Write Yes or No
____

(d) Is [person's] first husband/wife still alive?

Write Yes or No
____

For all women born in 1962 and before
[Questions 17-19 were asked of women born in 1962 and before.]

17. How many children has [the person] borne alive?

Write number of boys and girls. If none, write 0.
____ Boys
____ Girls

18. How many of the children [person] has borne are still alive?

Write number of boys and girls. If none, write 0.
____Boys
____Girls

19. How was [the person] when she bore her first child?

Write age in years
____

C. Number of persons in the household

____ Male
____ Female
____ Total

Data Cart

Your data extract

0	variables
0	samples