[p. 1]

II Dwelling Census - April 1964
General Statistic Department
Republic of Guatemala

The information on the form is confidential and obligatory.

____ Form number
____ District number
____ Section number
____ Sector number
____ Corresponds to the farm form number

Office use

____ Department
____ Municipality
____ District
____ Section
____ Sector
____ Form number

Farm

[] Yes
[] No

[Area]

[] 1 Urban
[] 2 Rural

I. Localization

____ 1. Department
____ 2. Municipality
____ 3. Village
____ 4. Populated center

5. Category of locality

[] 1 City
[] 2 Village
[] 3 Town
[] 4 Small village
[] 5 Hamlet
[] 6 Other (specify) ____

6. Number or name of the avenue or street ____

7. Number of the house or building ____

8. Number of the room or apartment ____

9. Zone or neighborhood ____

10. Is the dwelling located on a farm?

[] Yes; write the name of the farm ____
[] No

II. Type of building where the dwelling is located
[Mark only one box in this division]

11. Private dwelling

[] 1 Separate house
[] 2 Apartment
[] 3 Tenement house
[] 4 Other (specify: school, factory, etc.) ____

12. Collective dwelling ____

(Specify: hospital, boarding house, inn, hotel, boarding school, camp, barracks, etc.)

III. Type of dwelling
[Mark only one box in this division]

13. Places used as housing

[] 1 House, room, or other formal construction housing
[] 2 Improvised housing (shed, hut, etc.)
[] 3 Shack or other rustic housing
[] 4 Mobile housing (trailer, boat, wagon, etc.)

14. Sites not designated as housing but used as such at the time of the census ____

Specify: garage, deposit, etc..

IV. Ownership
[Mark only one box in this division]

15. Ownership

[] 1 Owned
[] 2 Rented
[] 3 Other (specify) ____

16. If the dwelling is rented, how much is the monthly rent? Quetzals ____

V. Rooms and occupants

17. Number of rooms

_ _ Number of rooms
_ _ Number of rooms used as bedrooms

18. Number of permanent occupants

_ _ Number [total] of permanent occupants
_ _ Male
_ _ Female

VI. Predominant construction materials
[Mark only one box in each division]

19. Walls

[] 1 Brick or cement block (alone or mixed)
[] 2 Adobe
[] 3 Stone
[] 4 Cane with earth
[] 5 Wood
[] 6 Sticks, cane
[] 7 Other (specify) ____

20. Roof

[] 1 Concrete
[] 2 Metal sheeting
[] 3 Asbestos and cement
[] 4 Clay tiles
[] 5 Straw, palm, and similar
[] 6 Other (specify) ____

21. Floor

[] 1 Cement tile
[] 2 Clay tile
[] 3 Cement slab
[] 4 Wood
[] 5 Dirt
[] 6 Other (specify) ____

VII. Housing services and amenities
[Mark only one box in each division]

Water

22. System

[] 1 Running water (pipes or tubes)
[] 2 Without running water

23. Location of the running water

[] 1 Inside the dwelling
[] 2 Outside the dwelling, but inside the building
[] 3 Outside the building, but less than one block away
[] 4 Other (specify) ____

24. Direct source of water service

[] 1 Public system
[] 2 Well
[] 3 River, lake, spring
[] 4 Other (specify) ____

25. Bath

[] 1 Shower or bathtub
[] 2 Washstand
[] 3 None

Sanitary services

26. Type of service

[] 1 Toilet
[] 2 Washable latrine
[] 3 Black pit
[] 4 None

27. Use of services (in case of available sanitary services)

[] 1 For the exclusive use of the census household
[] 2 For various census households

28. Type of drain (for the sanitary service)

[] 1 A municipal sewer system
[] 2 A septic tank
[] 3 Above ground, exposed

Amenities

29. Lighting

[] 1 Electricity
[] 2 Candle
[] 3 Gas (kerosene), gasoline
[] 4 Other (specify) ____

30. Energy for cooking

[] 1 Electricity
[] 2 Propane gas
[] 3 Charcoal
[] 4 Wood, sticks, etc
[] 5 Gas (kerosene), gasoline

31. Other amenities (mark the corresponding boxes)

[] 1 Radio
[] 2 Television
[] 3 Refrigerator
[] 4 Washing machine
[] 5 Water heater
[] 6 Telephone

VIII. Existence of animals and agricultural products in the dwelling

If the dwelling does not have land dedicated to agricultural activities, but there are animals, complete the following section with the corresponding information. Animals on farms will be noted in the form for the Agricultural Census, DGE Number 381.

Poultry

____ 32. Hens, roosters, and chickens
____ 33. Turkeys (male and female)
____ 34. Other poultry
____ 35. Laying hens

Cattle

36. Under 2 years old

____ [Total]
____ Males
____ Females

37. 2 years old or older

____ [Total]
____ Males
____ Females

Other cattle and hives

38. Swine:

____ Total of male and female
____ Breeding pigs, 6 months old or older

____ 39. Wool-bearing animals, under one year old
____ 40. Wool-bearing animals, one year old or older
____ 41. Horses: total heads
____ 42. Donkeys: total heads
____ 43. Mules: total heads
____ 44. Goats: total heads
____ 45. Total number of boxed hives

Livestock products

____ 46. Chicken eggs laid yesterday
____ 47. Liters of milk produced yesterday
____ 48. Liters of cream produced yesterday
____ 49. Pounds of fresh cheese produced in March 1964

Obtained in the agricultural year, 1963-1964

____ 50. Pounds of refined and unrefined butter
____ 51. Pounds of dried cheese
____ 52. Gallons of honey
____ 53. Pounds of beeswax
____ 54. Pounds of sheared wool

For office use

____ Revised and codified by
____ Perforated by
____ Verified by
____ Verified by

[p. 2]

Read all that is not in parenthesis [to the interviewee]

General characteristics
[For all persons]

1. Name and last names: What is your name and the names of the persons who slept in the house on the night of April 17th, 1964? ____

Do not forget newborns who were born before midnight and people who died after midnight on April 17th, 1964.

2. Relationship to the head of household: What is your relationship to the head of household? Spouse, partner, child, parent, grandparent, uncle or aunt, cousin, etc.

Mark the corresponding box with an X or specify the relationship when you mark the box for 'other'.

[] 1 Head of household
[] 2 Spouse
[] 3 Partner
[] 4 Child
[] Other (specify) ____

3. Sex

Mark the corresponding box with an X

[] 1 Male
[] 2 Female

4. Age: What was your age on your last birthday?
Use the first line for people one year old or more, use the second line for people under one year of age, use the third line for people less than one month old.

[] 1 Number of years ____
[] 2 Number of months ____
[] 3 Number of days ____

5. Marital status

A single person is someone who has never been legally married and is not in a consensual union. A married person is a person who has been legally married. A person in a consensual union lives in a martial union without legal marriage. Widow is a person who has not been legally married after the death of a spouse and does not live in a consensual union. A person who is divorced has legally dissolved a legal marriage and is not in a consensual union.

[] 1 Single
[] 2 Married
[] 3 Consensual union
[] 4 Widow
[] 5 Divorced
[] 6 Under 14 years old

6. Ethnic group

Based on the social perception of the person.

[] 1 Indigenous
[] 2 Non-indigenous

7. Dialect or language: Does the person speak an indigenous language at home?

[] 1 Yes
[] 2 No

8. Indigenous outfit: Does the person wear a traditional indigenous outfit?

[] 1 Yes
[] 2 No

9. Footwear: Does the person wear shoes or sandals, or go barefoot?

[] 1 Wears shoes
[] 2 Wears sandals (caites)
[] 3 Goes barefoot

Migration

10. Place of birth: In which municipality of the Republic of Guatemala was the person born? ____

(For foreigners, write the name of the country)

11. How many years has the person lived in this municipality?

[] 1 Always
[] Number of years _ _

12. In what municipality did [the person] live previously? ____

13. Nationality

This refers to birth nationality or naturalization. When you mark the foreigner box, write the country of the nationality.

[] Guatemalan by:

[] 1 Birth
[] 2 Naturalization

[] Foreigner (specify) ____

14. Religion: What is your religion?

[] 1 Catholic
[] 2 Christian, not Catholic
[] Other (specify) ____

Educational and occupational characteristics
Persons 7 years old and more
[Questions 15 to 26 are asked of persons age 7+ years old]

Education

15. Literacy: Does the person know how to read and write?

[] 1 Yes
[] 2 No

16. School attendance: Does the person attend school or receive education?

[] 1 Yes
[] 2 No

17. If the person attends school or receives an education, what year and what level of education?

[] 1 Elementary ____
[] 2 Secondary ____
[] 3 University ____

18. Educational level: What was the highest grade and level of education that the person passed?

Be informed about the grade and the type of education: primary, secondary, university

[] No grade
[] 2 Elementary ____
[] 3 Secondary ____
[] 4 University ____

Occupational situation in the month before the census

19. Did the person work during the last four weeks before the census?

[] 1 Yes
[] 2 No

20. If the person did not work, did the person look for work during the last four weeks before the census?

[] 1 Yes
[] 2 No

21. Occupation: What occupation or work did the person have during most of the last four weeks before the census? ____

If the person did not work but looked for a job, what was his or her last occupation performed? Avoid using general words as laborer, office clerk, etc.; specify the position.

22. Branch of economic activity: In what establishment, shop, office, etcetera, did the person work during the last four weeks before the census? ____

Indicate the article that is produced or the services that are provided: farm of cane, grocery store, municipality, General Direction of Roads, manufactures of shirts, sheet metal fabric, etc.

23. Occupational position: What position do you have in your job?

According to the person has remunerated workers to his or her orders; he or she works for another person and receives remuneration; he or she works on their own account or with relatives and receives or not remuneration

[] 1 Boss
[] 2 Employee
[] 3 Self-employed
[] 4 Paid family worker
[] 5 Unpaid family worker or other non-remunerated worker

24. Time worked: How many months did the person work in 1963?

Months ____

25. Inactive population ____

For those persons who did not work or looked for work in the last four months before the census, write the reason: housework, student, retired, ill, blind, crazy, etcetera.

26. Affiliation with IGGS: Is the person currently affiliated with the Guatemalan Institute of Social Security?

[] 1 Yes
[] 2 No

Fertility
Only for women who have had children
[Questions 27 and 28 are asked of women who had have children]

27. Number of children that you have had born alive

Include those that have died before the census.

Number of children _ _

28. At what age did you give birth to your first child born alive?

Years _ _

If any of the people answering the census manages a farm or an agricultural business, in or out of this municipality, use the agricultural form.

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