INE
National Institute of Statistics
Guatemala, Central America

Republic of Guatemala
X National Census of Population and V of Habitation
1994

Office use [blank box]
Form number ____ of ____
Additional Form []

I. Geographical location

1. Cartographic identification

Department _ _
Municipality_ _
Sector_ _ _
Block_ _
Location_ _ _

2. Address

____ Address
____ Municipality
____ Department

3. Name of the populated place ____
Office use _ _ _

4. Category of the populated place

(Mark only one circle with an X)

[] 1 City
[] 2 Villa
[] 3 Town
[] 4 Colony
[] 5 Unauthorized population
[] 6 Village
[] 7 Hamlet
[] 8 Station (paraje)
[] 9 Farm

II. Characteristics of the place of habitation

1. Type of place

a. Private (individual)

[] 1 Regular house (formal)
[] 2 Apartment
[] 3 Room in a tenement
[] 4 Shack or other rustic housing
[] 5 Improvised house
[] 6 Other type (specify) ____

b. Collective

[] 7 Hotel, boarding house, guest house [go to chapter V]
[] 8 Hospital, health care center [go to chapter V]
[] 9 Boarding school [go to chapter V]
[] 10 Institution [go to chapter V]
[] 11 Camps [go to chapter V]
[] 12 Other type (specify) ____ [go to chapter V]

c. [] 13 Without place [go to chapter V]

2. Roofing material

Predominant material of roof:

[] 1 Concrete
[] 2 Metal sheeting
[] 3 Asbestos concrete
[] 4 Clay tiles
[] 5 Straw, palm leaves or similar materials
[] 6 Other (specify) ____

3. Material of exterior walls

Predominant material of the walls:

[] 1 Brick
[] 2 Cinder block
[] 3 Concrete
[] 4 Adobe
[] 5 Wood
[] 6 Metal sheeting
[] 7 Cane and mud (bajareque)
[] 8 Lepa, sticks or cane
[] 9 Other (specify) ____

4. Condition of local occupation

[] 1 Occupied
[] 2 Unoccupied (go to another place)

[If the local is vacant, enumerator should go to the next place of habitation]

5. Flooring material

Predominant material of the floors:

[] 1 Cement bricks
[] 2 Clay bricks
[] 3 Unfinished poured concrete (torta de cemento)
[] 4 Wood
[] 5 Earth

6. Utilities of the place

a. Water

Is this dwelling connected to a water distribution system?

[] 1 Yes
[] 2 No

b. Sewage

Is this dwelling connected to a sewage system?

[] 1 Yes
[] 2 No

c. Electric power

Is this dwelling connected to an electric power distribution system?

[] 1 Yes
[] 2 No

7. Total number of rooms

How many rooms in total does this dwelling have?

(Do not count bathrooms, hallways, garage, kitchen, or rooms used for commercial or professional purposes)

Write the number _ _

8. Total households

How many households reside in this dwelling?

Write the number _ _

[p. 2]

III. Inhabited condition of the household

1. Number of the household

This is the household number _ _

2. Water service

What type of water service is available in the household?

a. Water from a pipe

a.1 Public network

[] 1 Running water for exclusive use
[] 2 Running water for various households
[] 3 Public tap (outside the habitation)

a.2 Private system

[] 4 Running water for exclusive use
[] 5 Running water for various households
[] 6 Well with network for exclusive use of the household

b. Carried water

[] 7 Well
[] 8 River, lake or spring
[] 9 Truck (cistern, barrel, etc.)

c. Other

[] 0 Other (specify) ____

3. Sanitary service

What type of sanitary service is available in the household?

a. Exclusive use

[] 1 Toilet connected to a drainage network
[] 2 Toilet connected to a septic tank
[] 3 Washable toilet
[] 4 Latrine or open pit

b. For several households

[] 5 Toilet connected to a drainage network
[] 6 Toilet connected to a septic tank
[] 7 Washable toilet
[] 8 Latrine or open pit

c. None available

[] 9 None available

4. Lighting service

What type of lighting is available in the household?

[] Electric from public service

[] 1 Exclusive use
[] 2 For several households

[] Electric from private service

[] 3 Exclusive use
[] 4 For several households

[] 5 Common gasoline (kerosene)
[] 6 Candle
[] 7 Other (specify) ____

5. Total number of rooms

a. How many total rooms are in this household?

(Do not count bathrooms, hallways, garage, kitchen, or rooms used for commercial or professional purposes)

Total rooms _ _

b. Of this total number of rooms, how many are used as bedrooms? _ _

c. Does the household have a room used exclusively for cooking?

[] 1 Yes
[] 2 No

6. Means of cooking

What is the mean used habitually to cook in the household?

[] 1 Electricity
[] 2 Propane gas
[] 3 Common gasoline (kerosene)
[] 4 Charcoal
[] 5 Firewood
[] 6 Does not cook

7. Waste elimination

In what way is waste eliminated in the household?

[] 1 Municipal service
[] 2 Private service
[] 3 Burning it
[] 4 Burying it
[] 5 Throwing it another place
[] 6 Other means (specify), ____

8. Ownership system

In what condition does this household occupy this dwelling?

[] In property

[] 1 Completely paid
[] 2 Paying in installments

_ _ _ _ _ Quetzales [Guatemalan currency] (whole numbers)

[] 3 Rented

_ _ _ _ _ Quetzales [Guatemalan currency] (whole numbers)

[] 4 Ceded (loaned)
[] 5 Other (specify), ____

IV. Family or home-based industry

Family or home-based industry

a. Does this household produce items for sale, such as furniture, clothing or other products?

[] 1 Yes
[] 2 No

b. Does this household produce items for sale, such as hats, hammocks, baskets, ceramics, etc.?

[] 1 Yes
[] 2 No

c. Does this household produce food items for sale such as tortillas, bread, tamales, tostadas, etc.?

[] 1 Yes
[] 2 No

[p. 3]

V. List of people
[For all persons]

How many persons normally live in this household?

_ _ Total
_ _ Men
_ _ Women

What are the names and surnames of each of the people who normally live in this household?

Starting with the head of household (Do not forget to record children, newborns and the elderly)

[Repeat for each person 1-9 on sheet]

Person number _ _
Names and surnames ____
Sex

[] 1 Man
[] 2 Woman

Note: Be sure to include children, newborn, elderly, live-in domestic servant or other people who live in the household and are temporarily absent.

VI. International migration and mortality

1. International migration

a. Are there people who lived in this household but reside in another country?

[] 1 Yes
[] 2 No (go to number 2. Mortality)

b. How many people reside in another country?

Write the number _ _

2. Mortality

From January 1st 1992 to the present date of the census, has any person who lived in this household died?

[] 1 Yes

Order number _
Names and surname ____
Date of death

_ _ Day
_ _ Month
_ _ Year

Sex

[] 1 Man
[] 2 Woman

Age at passing _ _

Less than a year, write "00". From 98 years and above, write "98".

[] 2 No (go to chapter VII)

[p. 4]

VII. People in the census household

For all people
[Question 1-10 asked of all persons]

Person _ _ of the list:

Write the names and last names ____

Personally provided information?

[] 1 Yes
[] 2 No

1. Relationship

a. What relationship do you have with the head of household?

[] 1 Head of household
[] 2 Spouse, partner
[] 3 Child or stepchild
[] 4 Son or daughter-in-law
[] 5 Grandchild
[] 6 Parents or parents-in-law
[] 7 Other relative
[] 8 Domestic servant
[] 9 Other, no relation

b. Person in collective dwelling or without dwelling

[] 0 Person in collective dwelling or without dwelling

2. Age

a. How many years old are you? _ _

Less than a year, write "00". From 98 years and above, write "98".

b. Date of birth

_ _ Day
_ _ Month
_ _ Year

3. Sex

Are you male or female?

[] 1 Male
[] 2 Female

4. Current marital status

What is your current marital status?

[] 1 Under 12 years old
[] 2 Consensual union
[] 3 Married
[] 4 Divorced or separated
[] 5 Widow
[] 6 Single

5. Ethnic group

Are you indigenous?

[] 1 Yes
[] 2 No

6. Maternal orphanhood

a. Is your mother alive?

[] 1 Yes
[] 2 No

b. If your mother is alive and is living in the household, write the number she has on the list

Mother number _ _

7. Disability

Are you invalid or have an impediment in:

[] 1 One or both arms?
[] 2 One or both legs?
[] 3 The whole body?

Are you:

[] 4 Blind
[] 5 Deaf
[] 6 Deaf mute
[] 7 Mentally handicapped

[] 8 Without impediment

8. Place of birth

In what municipality and department were you born?

[] 00 In this municipality
[] [If born in this country write the name of the municipality and department]

____ _ _ Municipality
____ _ _ Department

[] [If born abroad, write the country and year of arrival in this country]

Country____ _ _
Year of arrival in the country_ _

9. Time of residency

How many years have you resided in this municipality?

[] 98 Always, (go to number 12)
[] [If have lived outside the municipality, write the numbers of years since reside in the municipality]

Number of years _ _

10. Previous habitual residence

In what municipality and department did you reside before moving to this municipality?

____ _ _ Municipality
____ _ _ Department

[] [If living abroad of the country, write country name]

____ _ _ Country

For persons 3 years old and older
[Question 11 and 12 asked of persons age 3+ old]

11. Habitual residence in 1990

In what municipality and department did you reside before establishing yourself in this municipality?

[] 00 In this municipality
[] [If the habitual residence is in this country write the name of the municipality and department]

____ _ _ Municipality
____ _ _ Department

[] [If the habitual residence is outside the country write the name of the country]

____ _ _ Country

12. Ethnic characteristics

a. What language or dialect did you learn to speak?

[] 1 K'iche'
[] 2 Kaqchikel
[] 3 Mam
[] 4 Q'eqchi'
[] 5 Other Mayan dialect (specify) ____
[] 6 Spanish
[] 7 Other language (specify) ____

b. Do you speak a Mayan dialect?

[] 1 K'iche'
[] 2 Kaqchikel
[] 3 Mam
[] 4 Q'eqchi'
[] 5 Other Mayan dialect (specify) ____
[] 6 None

c. Do you speak Spanish?

[] 1 Yes
[] 2 No

d. Use traditional Mayan outfit?

[] 1 Yes
[] 2 No

[p. 5]

VII People in the census household (continued)

For people 7 years old or older
[Question 13-19 are asked of persons age 7 years or older]

13. Literacy

Do you know how to read and write?

If only reads or write, mark no

[] 1 Yes
[] 2 No

14. Educational level

What was the last grade or year of studies completed in pre-primary, primary, secondary or higher education?

Write down from 1 to 7 according to the grade passed.

[] 00 None
[] 10 Pre-primary
[] 2 Elementary _
[] 3 Secondary _
[] 4 Higher (university) _

15. School attendance

a. Do you currently attend an establishment of pre-primary primary, secondary or higher education?

[] 1 Yes [Go to question 16]
[] 2 No

b. What is the main reason for not attending?

For people from 7 to 14 years old

[Question 15. b was asked of people from 7 to 14 years of age who are not currently attending school.]

[] 1 There is no school
[] 2 Goes to literacy classes
[] 3 Lack of money
[] 4 Does not like it, does not want to go
[] 5 Has to work
[] 6 Household duties
[] 7 Parents do not want it
[] 8 Other reason (specify) ____

16. Type of activity

What did you do during the week prior to the census date?

[] 1 Worked
[] 2 Did not work, but had a job
[] 3 Looked for work, but work before
[] 4 Looked for work for the first time
[] 5 Lived on rent or pensions and did not work
[] 6 Studied and did not work
[] 7 Household duties and did not work
[] 8 Other (specify) ____

[If response 4-8, go to question 20]

[Questions 17 - 19 are asked for persons who responded 1, 2, or 3 in question 16]

17. Principal occupation

What principal occupation, type of work or position did you have during the reference week, or in the last job you had?

Describe the duty____
Office use _ _ _ _

18. Branch of activity

What does the factory, workshop, office, farm, establishment etc. do where the occupation took place?

Describe the duty____
Office use _ _ _ _

19. Occupational category

What category [position] did you have in the principal occupation indicated above?

[] 1 Employer
[] 2 Self-employed with a workplace
[] 3 Self-employed without a workplace
[] 4 Public employee
[] 5 Private employee
[] 6 Non-remunerated family worker

For women 12 years old or older
[Question 20 - 24 were asked of women age 12 years old or older]

20. Son and daughter born alive

Have you had any son or daughter born alive?

Do not forget to ask the question even when the woman is single.

[] 1 Yes
[] 2 No [Go to the next person]

21. Total of son and daughter born alive

How many children born alive have you had in total?

_ _ Male
_ _ Female
_ _ Total

22. Total number of son and daughter surviving

How many of your children are currently alive?

_ _ Male
_ _ Female
_ _ Total

23. Survival of the last child

Is you last child born alive currently alive?

[] 1 Yes
[] 2 No

24. Date of birth of last child

What was the date of birth of your last child born alive?

_ _ Day
_ _ Month
_ _ Year

[p. 6]

Census taker

Name ____
Signature ____
Date

_ _ Day
_ _ Month
_ _ Year

Supervisor

Name ____
Signature ____
Date

_ _ Day
_ _ Month
_ _ Year

Observations________

Before leaving the household please review the form and make sure that all questions have been asked and that all members of the household have been enumerated.

By law, the information registered in the census form is strictly confidential.
Law Decree 3-85, Article 25

National Institute of Statistics
INE
Guatemala, C.A.

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